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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>> frontal and lateral views of the chest were obtained. there are low lung volumes. the bronchovascular markings are accentuated at the lung bases. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] low lung volumes, but no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. a right chest wall port-a-cath terminates at the cavoatrial junction.Write the impressions of this report findings [/INST] normal radiograph of the chest. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is mildly enlarged. the aorta is tortuous. coils seen along the right mediastinal contour are unchanged. the hila and pulmonary vascularity are normal. lungs are hyperinflated. blunting of the right costophrenic angle is compatible with a small right pleural effusion, unchanged. aeration of the right lung base has improved. no focal consolidation or pneumothorax is present. no acute osseous abnormalities are seen.Write the impressions of this report findings [/INST] small right pleural effusion, unchanged. no new focal consolidation to suggest 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>> portable supine frontal view of the chest. the lung volumes are very low. there is diffuse airspace opacity in the right lung. bilateral interstitial prominence likely represents mild pulmonary edema. no large pleural effusion or pneumothorax is seen. the heart size is accentuated due to low lung volumes, but is probably normal. the mediastinal contours are normal.Write the impressions of this report findings [/INST] <num>. diffuse airspace opacities in the right lung could represent aspiration, infection or less likely hemorrhage. <num>. mild edema is most 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>> cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> borderline enlargement of the cardiac silhouette is unchanged. the aorta remains mildly tortuous. mediastinal and hilar contours are normal. the pulmonary vasculature is not engorged. lungs are hyperinflated without focal consolidation, pleural effusion or pneumothorax. osseous structures are diffusely demineralized.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 provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. no free air under the right hemidiaphragm.Write the impressions of this report findings [/INST] no evidence of pneumothorax or pleural effusion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax or focal airspace opacity. bilateral nipple shadows should not be confused for pulmonary nodules.Write the impressions of this report findings [/INST] normal 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>> surgical chain sutures with associated linear opacities are seen at the left lung base. there is no focal consolidation or effusion. cardiomediastinal silhouette is stable. abnormal soft tissue in the right paratracheal region with leftward deviation of the trachea was better characterized by recent ct scan. increased soft tissue in the subcarinal region was also previously characterized by ct. no acute osseous abnormalities. high density material in the colon is likely from prior enteric contrast administration.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. mediastinal adenopathy as characterized on prior 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>> pa and lateral chest radiograph demonstrates hyperexpanded lungs. lungs are otherwise clear without a focal consolidation. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema.Write the impressions of this report findings [/INST] no evidence of pneumonia. hyperexpanded lungs. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is similarly sized, small right pneumothorax with apical component with increasing pleural effusion compared to the exam performed <num> hours earlier. right basal atelectasis is less conspicuous on this exam. there is a small left pleural effusion. the pigtail catheter appears to be in similar position. heart size is within normal limits.mediastinal and hilar contours are unremarkable.Write the impressions of this report findings [/INST] unchanged small right pneumothorax and slightly increased right pleural effusion. unchanged small left pleural effusion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> 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>> cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion without evidence of pulmonary edema. there are no focal areas of consolidation within the lungs, and no definite pleural effusion is evident.Write the impressions of this report findings [/INST] no definite pleural effusion. standard pa and lateral chest radiographs would be more sensitive and may be considered if there remains strong clinical suspicion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a new ill-defined opacity at the left lung base. there are tiny bilateral pleural effusions.no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. an enteric tube is again seen terminating below the level of the diaphragm.Write the impressions of this report findings [/INST] <num>. left basilar pneumonia. <num>. tiny bilateral pleural effusions. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac silhouette size is normal. mediastinal and hilar contours are unchanged with known mediastinal lymphadenopathy better appreciated on the prior ct. pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax is present. scarring within the lung apices appears unchanged. no acute osseous abnormality is detected. oral contrast material seen within the splenic flexure.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. known mediastinal lymphadenopathy is better seen on the previous chest ct. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were provided. a <num> mm nodular opacity projecting over the left lung base is seen on the frontal projection. otherwise, the lungs appear clear. no pleural effusion or pneumothorax is seen. the heart and mediastinal contours appear normal. the imaged osseous structures appear intact. no free air is seen below the right hemidiaphragm.Write the impressions of this report findings [/INST] nodular opacity projecting over the left lung base; nonemergent ct chest 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>> 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] 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 has been interval placement of an enteric tube which terminates in the proximal stomach. the lung apices are not fully included on the image. given this, the lungs remain clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. residual contrast is seen in the bilateral renal collecting systems from recent preceding contrast enhanced ct. a stent is noted in the right upper quadrant a overlying surgical <unk>.Write the impressions of this report findings [/INST] interval placement of enteric tube which terminates at the expected location of the proximal 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. there is no consolidation or pneumothorax. 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>> portable ap upright chest radiograph <unk> at <time> is submitted.Write the impressions of this report findings [/INST] a tracheostomy tube is now in place and has its tip approximately <num> cm above the carina. right mid peripheral opacity is increasing and more likely reflects loculated fluid in the fissure, although parenchymal consolidation should also be considered. increasing bibasilar opacities may reflect atelectasis, although aspiration or pneumonia should also be considered. in addition, there is prominence of the interstitium which could reflect a component of fluid overload, although no overt pulmonary edema is seen. right paratracheal and hilar fullness is unchanged and likely reflects lymphadenopathy as evident on chest ct dated <unk>. blunting of both costophrenic angles suggest the presence of small effusions.<num> </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> left-sided aicd device is noted with single lead terminating in the right ventricle. moderate to severe cardiomegaly is unchanged. the aortic knob is densely calcified. the mediastinal and hilar contours are unremarkable. there is no pulmonary edema. focal opacity within the right upper lobe is concerning for an area of infection or aspiration. retrocardiac patchy opacity could reflect atelectasis. no large pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] focal opacity within the right upper lobe is concerning for an area of infection 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>> the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear within normal limits.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> patchy basilar opacities could be due to atelectasis but raise concern for pneumonia in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable.Write the impressions of this report findings [/INST] patchy basilar opacity could be due to atelectasis, aspiration, and/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>> ap single view of the chest has been obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study obtained six hours earlier during the same day. the right-sided chest tube remains in unchanged position and terminates in the right apical area. no pneumothorax has developed. the previously identified bilateral basal atelectases remain rather unchanged. comparison does not demonstrate new infiltrates. no mediastinal shift and no evidence of increase in pleural effusion.Write the impressions of this report findings [/INST] stable chest findings with right chest tube in place, no interval change for the last six hours. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 internal jugular central venous catheter tip projects over the mid svc. there has been interval removal of the endotracheal and gastric tubes. unchanged retrocardiac opacity and a small left pleural effusion. minimal right basilar atelectasis. no pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged.Write the impressions of this report findings [/INST] interval removal of the endotracheal and gastric tubes. unchanged retrocardiac opacity and a small left pleural effusion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. calcification in the lateral aspect of the left lung, likely a calcified granuloma, is again seen. the cardiac and mediastinal silhouettes are unremarkable. 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>> cardiac silhouette size is top normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. minimal blunting of the left costophrenic sulcus appears unchanged, and may be reflective of pleural thickening and scarring. lungs are otherwise clear without focal consolidation, pleural effusion or pneumothorax. mild degenerative changes are seen in the thoracic spine.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. there is no consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. lack of fusion of t<num> posterior elements is incidentally 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>> left chest wall triple lead pacing device is again noted. the lungs are clear where not obscured on the left from the pacer. there is no effusion, consolidation nor edema. moderate hiatal hernia is again noted. the cardiac silhouette is enlarged, similar compared to prior. no acute osseous abnormalities, right humeral head hardware is visualized.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkableWrite the impressions of this report findings [/INST] no acute cardiopulmonary abnormalities </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the left pectoral icd device terminates in the right ventricle. lungs are free of focal consolidations, pleural effusions or pneumothorax. no pulmonary edema. the mediastinum and hila are within normal limits. heart size is top normal.Write the impressions of this report findings [/INST] transvenous icd device terminates in the right ventricle. no pneumothorax. heart size top 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>> moderate levoconvex scoliosis of the thoracic spine is stable. since the prior radiograph, there is increased hazy opacification of the right lower lobe, which is confirmed on the lateral view. there is no pleural effusion or pneumothorax. heart size and mediastinal contours are stable.Write the impressions of this report findings [/INST] right lower lobe pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. a vague opacity projecting over the right upper lobe suggests pneumonia. elsewhere, the lungs appear clear. bony structures appear within normal limits.Write the impressions of this report findings [/INST] findings suggesting pneumonia in the right upper lobe. follow-up radiographs are recommended to show resolution within eight weeks. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the aorta is calcified. hilar contours are stable and unremarkable. the lungs are highly inflated with flattening of the diaphragm, similar to prior. no pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax is seen. dextroconvex thoracic scoliosis and small anterior endplate osteophytes in the thoracic spine are again seen.Write the impressions of this report findings [/INST] <num>. no evidence for pneumonia or other acute cardiopulmonary abnormalities. <num>. persistent pulmonary hyperinflation may reflect obstructive airways disease. please correlate clinically. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. mild cardiomegaly is again seen. there is a tortuous descending thoracic aorta and calcification of the aortic knob. no pleural effusion or pneumothorax. the osseous structures demonstrate general osteopenia, with no acute abnormality appreciated.Write the impressions of this report findings [/INST] stable cardiomegaly with no evidence of 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>> scarring at the right lung base is unchanged from the prior chest ct in <unk>. no new consolidation. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. no subdiaphragmatic free air identified. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary process 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>> compared to the prior study there is no significant interval change.Write the impressions of this report findings [/INST] no change. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac and mediastinal silhouettes are stable. there is stable diffuse prominence of the interstitial markings. no pleural effusion or pneumothorax is seen.Write the impressions of this report findings [/INST] stable prominence of the interstitial markings bilaterally. no new focal consolidation seen. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours appear unchanged. there is a patchy left basilar opacity obscuring the left cardiac border, probably within both the left lower lobe and lingula but not significantly changed and accordingly perhaps chronic. it is difficult to exclude a recurrent opacity at the same location, however. there is no definite pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] persistent left basilar opacities, possibly due to chronic scarring or atelectasis noting the lack of change, although it is difficult to exclude the possibility of recurring infection at the same location as before. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> extensive pleural disease and calcification is present. subtle chf may be difficult to exclude in this field of the increased interstitial markings which was present on the previous study. the interstitium markings may have increased slightly. the heart is grossly enlarged and has increased in size somewhat since the previous study. this could be due to cardiac decompensation, but a pericardial effusion might be considered.. the osseous structures are normal for age. the patient has median sternotomy closures and mediastinal clips consistent with coronary artery bypass graft.Write the impressions of this report findings [/INST] increasing cardiac size. extensive pleural calcification probably not greatly changed since the previous examination. however, there iis subtle increase in pulmonary density which may indicate chf. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. there is no evidence of radiopaque foreign body. there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal contours are normal. no evidence of pneumomediastinum is seen.Write the impressions of this report findings [/INST] no evidence of 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>> ap portable upright view of the chest. lung volumes are low. overlying ekg leads are present. allowing for limitations, the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous 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>> compared to the examination from approximately <num> hr prior, there has been interval placement of a right internal jugular approach central venous catheter terminating at the approximate level of the cavoatrial junction. no associated pneumothorax. otherwise no relevant change.Write the impressions of this report findings [/INST] interval placement of rij line in satisfacotry position. no pneumothorax. scattered opacities suggestive of atelectasis in setting of low volumes. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there has been interval removal of a right-sided pigtail pleural catheter. a large loculated right pleural effusion and adjacent pulmonary opacity is not significantly changed from the prior study done today at <time>. the left lung is hypoinflated but clear. the cardiomediastinal and hilar contours are stable. there is mild pulmonary vascular congestion and possible mild edema.Write the impressions of this report findings [/INST] status post removal of right-sided pigtail catheter. large right pleural effusion is not significantly changed. subtly increased pulmonary vascular engorgement and mild pulmonary edema from the prior study done this morning. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 nephroureteral stent and external drain tip are seen in the approximate location of the right kidney. bibasilar atelectasis is noted but there are no frank consolidations to suggest pneumonia. the cardiomediastinal silhouette appears normal. there is mild enlargement of the perihilar vessels suggesting increased invascular volume but no evidence of pulmonary edema. the heart is normal in size. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] minimal bibasilar atelectasis, but no frank consolidations to suggest 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 silhouette is top-normal. the aorta is slightly tortuous. no pulmonary edema is seen. lucency is seen the level the left hemidiaphragm, some which appears to be within bowel, more laterally this is unclear but most likely within the stomach. if high clinical concern for pneumoperitoneum, consider ct.Write the impressions of this report findings [/INST] no acute cardiopulmonary process.lucency is seen the level the left hemidiaphragm, some which appears to be within bowel, more laterally this is unclear but most likely within the stomach. if high clinical concern for pneumoperitoneum, consider 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>> the lungs are clear. cardiac size is top normal with left ventricular prominence. there is no pleural effusion, pneumothorax or pulmonary edema.Write the impressions of this report findings [/INST] no focal consolidation. 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>> ap portable semi upright view of the chest. endotracheal tube is seen with its tip located approximately <num> cm above the carina. the ng tube courses into the upper abdomen. there are bilateral lower lung opacities, right greater than left, new from prior concerning for multifocal pneumonia. no large effusion or pneumothorax. heart size is normal. mediastinal contour is stable. bony structures appear intact.Write the impressions of this report findings [/INST] tubes positioned appropriately. multifocal pulmonary opacities concerning for multifocal 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>> lungs are well inflated bilaterally and are clear with no focal consolidation, pleural effusion, or evidence of pneumothorax. no lesions or masses are identified. cardiomediastinal silhouette is within normal limits with mild calcification of the aorta noted. the pleural surfaces are unremarkable. degenerative changes of thoracic spine are noted.Write the impressions of this report findings [/INST] no evidence of infection or malignancy. these results were reported to dr. <unk> at <time> a.m. via phone by <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>> patient is status post median sternotomy. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the tip of the ng tube projects over the right upper quadrant likely within the gastric body. the side port is at the ge junction. there is atelectasis at the left lung base. the heart size is top-normal. no focal consolidation is seen. no large effusion or pneumothorax is present.Write the impressions of this report findings [/INST] ng tube terminating within the gastric body. atelectasis at the left lung base. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. tracheostomy is in standard positionWrite 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 patient is status post right upper lobe resection. the right hilum appears enlarged and abnormally dense compared to the left, but is without change. immediately lateral to the right hilum is a new area of poorly defined opacity approximately at right eighth posterior rib level. lungs are otherwise remarkable for a persistent area of poorly defined opacity anteriorly in the right middle lobe projecting in the retrosternal area on the lateral view, and corresponding to an area of apparent scarring on <unk> chest cta. cardiomediastinal contours are unchanged. small pleural effusions have resolved since the prior study.Write the impressions of this report findings [/INST] new poorly defined right juxta-hilar opacity, possibly due to an early/focal pneumonia given clinical suspicion for pneumonia. however, recurrent malignancy is an additional consideration, particularly considering adjacent persistent enlargement and increased density of the right hilum. management recommendation for this finding is treatment for pneumonia with short-term followup radiographs. however, as there is reportedly also a potential clinical concern for aortic dissection, an immediate chest cta should be considered as a cxr is not sufficiently sensitive or specific for detecting or excluding this diagnosis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process; specifically 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>> compared to the prior study there is no significant interval change.Write the impressions of this report findings [/INST] no change. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> semi-upright portable view of the chest demonstrates low lung volumes. the costophrenic angles are obscured, suggestive of trace pleural effusions. there is perihilar vascular congestion. mediastinal silhouette is prominent. a large lucency projecting over cardiac silhouette, likely reflects patient's known hiatal hernia. heart size is difficult to assess. there is no pneumothorax. coronary artery stents are in place. sternotomy wires appear intact. splenic artery calcifications are noted. otherwise, partially imaged upper abdomen is unremarkable.Write the impressions of this report findings [/INST] low lung volumes. trace bilateral pleural effusions, perihilar vascular congestion. large hiatal hernia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. heart size and the appearance of mediastinal structures including thoracic aorta are unchanged and stable. the pulmonary vasculature is not congested. the on previous examination identified rather nodular appearing densities located in the right upper lobe lateral segment and in the left hemithorax in a location compatible with the lingula of the left upper lobe, remain unchanged. they have not undergone any significant alteration in appearance or density. no new pulmonary abnormalities are present, no pleural effusion has developed as the lateral and posterior pleural sinuses remain free and no pneumothorax is seen in the apical area.Write the impressions of this report findings [/INST] stable chest findings, no interval change since <unk> in this patient with diagnosis of nodular sarcoidosis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no focal consolidation, pleural effusion or pneumothorax. bilateral nodular opacities that most likely represent nipple shadows. the cardiomediastinal silhouette is normal. clips project over the left lung, potentially within the breast. the imaged upper abdomen is unremarkable. chronic deformity of the posterior left sixth and seventh ribs are 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>> linear opacities in bilateral lung bases are similar to before and likely chronic atelectasis. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.Write the impressions of this report findings [/INST] no radiographic evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> comparison is made to radiograph performed <num> day prior, <unk>. ap and lateral chest radiograph demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or pulmonary edema. visualized osseous structures are without an acute 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 single view of the chest has been obtained with patient in semi-upright position. heart size is borderline, without typical configurational abnormality. thoracic aorta of normal <unk> but with some calcium deposits in the wall at the level of the arch. there is some moderate degree of perivascular haze in the pulmonary circulation, but there is no conclusive finding for central parenchymal or basal interstitial pulmonary edema. diffuse haze is overlying the lower half of the right hemithorax in the absence of any pleural fluid accumulation blunting the lateral pleural sinuses. considering patient's significant recumbent position, it is possible that this haze relates to pleural effusion layering in the posterior pleural compartment. in the differential diagnosis, this density could of course also represent parenchymal infiltrates of inflammatory nature. review of the latest transferred chest examination from <unk> dated <unk> demonstrated similar findings.Write the impressions of this report findings [/INST] questionable right-sided pleural effusion or parenchymal infiltrates in right lower lobe, difficult to differentiate on single portable chest view. recommended additional lateral view or new evaluation with chest ct. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. minimal linear and patchy opacities are seen in the lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are moderate degenerative changes seen within the imaged thoracic spine.Write the impressions of this report findings [/INST] mild 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 well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.Write the impressions of this report findings [/INST] normal chest radiographs. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> compared to the prior study there is decreased free air under the left hemidiaphragm but otherwise, no significant interval change.Write the impressions of this report findings [/INST] no change. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. degenerative changes of the right glenohumeral joint are present.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap and lateral views of the chest were obtained. the lateral view is severely limited by patient position and inability to move the left arm. frontal view demonstrates relatively low lung volumes with bibasilar atelectasis. an area of scarring in the left upper lobe is again seen, previously described on prior chest ct from <unk>, as calcified tuberculous bronchiectasis. no new opacity concerning for pneumonia is identified. there is no pulmonary edema or pneumothorax. the heart size is 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>> compared with the immediate prior study, the patient has undergone esophageal surgery. a small right apical pneumothorax is noted with a right-sided chest tube already in place. an enteric tube overlies the trachea for much of its course, but is shown more superiorly to be within the esophagus. the airway and ends within the gastroesophageal anastomosis. there is leftward tracheal deviation most likely due to postoperative swelling. a left paramidline drain is noted. there is no focal consolidation, pleural effusion, pulmonary vascular congestion. allowing for rotation, the cardiomediastinal silhouette is probably within normal limits.Write the impressions of this report findings [/INST] <num>. small right apical pneumothorax. <num>. leftward tracheal deviation likely attributable to postoperative swelling. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are low lung volumes, which accentuate the bronchovascular markings. given this, the there is linear left mid lung atelectasis/ scarring as well as likely atelectasis in the right mid lung zone. perihilar opacities may relate to prominence of the pulmonary vasculature and low lung volumes although underlying infection is difficult to exclude in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right glenohumeral joint degenerative change is incidentally noted.Write the impressions of this report findings [/INST] low lung volumes which accentuate the bronchovascular markings. left mid lung linear atelectasis/scarring. bilateral perihilar opacities may relate to prominence of pulmonary vasculature and low lung volumes although underlying infection is difficult to exclude 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>> portable ap semi-upright chest radiograph was provided. midline sternotomy wires are again noted. bilateral pleural effusions are noted with probable basilar atelectasis. no overt pulmonary edema. heart size is top normal. no pneumothorax.Write the impressions of this report findings [/INST] bilateral pleural effusions with 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 cardiac silhouette is unremarkable. the mediastinal and hilar silhouette is likely exaggerated due to technique. pleural effusion and pneumothorax are not entirely excluded on this supine film. no definite consolidation is identified.Write the impressions of this report findings [/INST] no definite evidence pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest demonstrate low lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. multiple surgical clips project over upper abdomen. partially imaged abdomen is unremarkable.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>> ap semi upright and lateral views of the chest provided. kyphotic angulation results in suboptimal assessment of the lower lungs on the frontal view. allowing for this, the lungs appear clear. cardiomediastinal silhouette appears relatively unchanged. no large effusion or pneumothorax. bony structures appear 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>> ap portable upright view of the chest. right ij central venous catheter is seen with its tip in the expected location of the mid svc. there is airspace consolidation in the right lower lung concerning for pneumonia. the left lung is mostly clear. no large effusion is seen. no pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.Write the impressions of this report findings [/INST] <num>. right ij positioned appropriately with tip in the mid svc. <num>. right lower lobe consolidation 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 right hemidiaphragm is elevated as seen on prior studies. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the pulmonary artery is mildly enlarged consistent with pulmonary arterial hypertension. heart size of normal.Write the impressions of this report findings [/INST] <num>. heart size is normal. no evidence pericardial effusion. <num>. mildly enlarged pulmonary artery consistent with pulmonary arterial hypertension. <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>> lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart is mildly enlarged, as demonstrated on prior pet-ct from <unk>.Write the impressions of this report findings [/INST] <num>. no acute intrathoracic process. <num>. 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>> lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation.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>> ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> prior left picc is no longer visualized. there is trace left pleural effusion and linear right basilar atelectasis. lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] trace left pleural effusion. otherwise, no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> new right ij central catheter terminates at the superior cavoatrial junction or the superior right atrium. the heart is of normal size with normal cardiomediastinal contours. the lungs are clear without focal or diffuse abnormality. previously seen bibasilar atelectasis has improved. no pleural effusion or pneumothorax. osseous structures are unremarkable.Write the impressions of this report findings [/INST] new right ij catheter terminates at the superior cavoatrial junction / right atrium. 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>> sequential portable ap upright chest radiographs dated <unk> at <time> are submitted.Write the impressions of this report findings [/INST] the dobbhoff feeding tube has its tip projecting over the stomach. the right internal jugular large bore catheter continues to have its tip in the right atrium. lung volumes have decreased and there is interval appearance of bibasilar patchy opacities most likely reflecting atelectasis, although pneumonia or aspiration cannot be excluded in the correct clinical setting. there is a small layering left effusion. no pneumothorax or pulmonary edema. overall cardiac and mediastinal contours are stable given differences in patient rotation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 pleural effusion small left apical pneumothorax is seen. the cardiomediastinal silhouette is unremarkable. the rib fracture seen on ct is not seen on this exam.Write the impressions of this report findings [/INST] left apical pneumothorax. otherwise 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>> heart size is normal. the aorta remains tortuous. mediastinal and hilar contours are similar. lungs are mildly hyperinflated with mild emphysematous changes again noted in the upper lobes. there is no pulmonary edema, focal consolidation, pleural effusion or pneumothorax. patchy atelectasis is seen in both lung bases. there mild degenerative changes noted in the thoracic spine.Write the impressions of this report findings [/INST] normal heart size. mild 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 consolidation, effusion, or edema. 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>> heart size is normal. the aorta remains tortuous with mild atherosclerotic calcifications. the pulmonary vasculature normal. hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. there are mild multilevel degenerative changes in the thoracic spine. clips from prior cholecystectomy are seen in the right upper quadrant. remote right posterior 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>> frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced 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>> unchanged suture line at the left lung apex. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.Write the impressions of this report findings [/INST] normal chest radiograph. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> single ap portable view of the chest was obtained. large area of opacity projecting over the left lower lung is worrisome for pneumonia. there is possible associated pleural effusion. the cardiac silhouette is enlarged. the aorta is calcified and tortuous. no overt pulmonary edema is seen.Write the impressions of this report findings [/INST] left lower lobe opacity worrisome for pneumonia. recommend followup to resolution. please note the patient has a known prior left bochdalek's hernia however, much smaller in extent on prior imaging than the aforementioned opacity. recommend followup to resolution. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are hyperinflated. biapical scarring and increased interstitial markings are seen throughout the lungs likely due to patient's underlying copd. there is no focal consolidation worrisome for infection. nodular opacity projecting over the anterior right fifth rib which may represent the nipple shadow in should be followed on subsequent exams. calcified densities projecting over the right axilla are presumably in the soft tissues. additional adjacent calcific densities projecting over the right lateral lung are unchanged. the cardiomediastinal silhouette is stable. atherosclerotic calcifications again noted at the aortic arch.Write the impressions of this report findings [/INST] hyperinflation without focal consolidation. followup on future exams of the nodular opacity over the right mid lung suggested. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. slight tortuosity of the 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>> there is small left pleural effusion, increased from <unk>. there is mild left lung base atelectasis. there is trace right pleural effusion. right internal jugular venous line terminates at the low svc. there is no pulmonary edema. cardiomediastinal silhouette is normal size.Write the impressions of this report findings [/INST] there is small left pleural effusion, increased from <unk>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no evidence of intrathoracic metallic foreign body. heart size is stable. 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 evidence of intrathoracic metallic 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>> frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the heart size is normal. a dense focus projecting over the left humeral head may represent an anchor screw.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. 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>> portable ap upright view the chest provided. multiple overlying ekg leads are present. no focal consolidation seen. cardiomediastinal silhouette appears unchanged. subtle interstitial edema is new from prior. no large effusion or pneumothorax.Write the impressions of this report findings [/INST] subtle 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>> a right port-a-cath is present with the tip in the low svc. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. surgical clips overlying the left lower hemithorax correspond to left chest wall clips, better characterized on the prior ct. they are unchanged.Write the impressions of this report findings [/INST] no acute cardiopulmonary process; specifically, no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal silhouette and hilar contours are unchanged. the lungs are clear. there is no pleural effusion or pneumothorax. minimal elevation of the left hemidiaphragm is unchanged. mild anterior compression deformities of <num> of the thoracic vertebral bodies is unchanged since <unk>.Write the impressions of this report findings [/INST] no focal consolidation worrisome 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>> there has been interval removal of the left-sided catheter. there is significant mediastinal widening consistent with aortic dissection seen on cta torso from <unk>. there is increased consolidation and effusion in the left lower lung. atelectasis at the right lung base is improved. cardiac size is normal. there is no pneumothorax.Write the impressions of this report findings [/INST] <num>. interval removal of the left-sided catheter. no pneumothorax. <num>. stable mediastinal widening consistent with known aortic dissection. <num>. increased consolidation and effusion in the left lower lung. <num>. improved atelectasis in the right lung base. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lung volumes are low. there is a hazy opacity within the right mid lung field which may represent atelectasis or developing infiltrate. followup to resolution is recommended there is blunting of the left costophrenic angle suggestive of a small pleural effusion versus focal atelectasis. the heart is mildly enlarged and there is mild central pulmonary vascular congestion and interstitial pulmonary edema.Write the impressions of this report findings [/INST] <num>. cardiomegaly with mild central pulmonary vascular congestion and interstitial pulmonary edema. <num>. opacity within the right mid lung field which may be due to atelectasis or developing infiltrate. followup to resolution 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>> cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>

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