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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>> ap and lateral radiographs of the chest. compared to the prior radiograph, there is resolution of the right lower lobe abnormality with no new areas of consolidation. there is no evidence of congestive heart failure. the cardiac silhouette is normal in size. a calcified granuloma is noted in the left upper lung field.Write the impressions of this report findings [/INST] interval resolution of right lower lobe opacity with no new areas of consolidation or evidence of congestive heart failure. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral views of the chest provided. a linear metallic density projecting over the left posterior chest wall has been seen dating back to ct chest from <unk>. this <unk> be related to prior thoracotomy though clinical correlation is advised. tiny surgical clips project over the left mid lung abutting a linear focus of scarring. . a spinal stimulator device terminates in the lower thoracic spine. calcified nodules in the right mid lung appear unchanged. there is a small right pleural effusion with basilar atelectasis. the heart is mildly enlarged. mild hilar congestion is suspected. no frank pulmonary edema. there is subtle nodularity projecting over the with right hilus which could represent en face vasculature. however given history of malignancy, ct advised to further assess. imaged osseous structures are intact.Write the impressions of this report findings [/INST] <num>. small right pleural effusion with right basal atelectasis, similar to prior ct from <unk>. <num>. mild cardiomegaly with mild hilar congestion with possible nodularity at the right pulmonary hilus for which nonemergent ct is recommended to further assess. <num>. postsurgical changes related to left thoracotomy appear unchanged as detailed 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 frontal upright view of the chest was provided. a port-a-cath resides over the right chest wall with catheter tip extending to the region of the low svc. the heart size appears normal. there is hilar prominence, compatible with known lymphadenopathy. there is interstitial edema with a tiny left pleural effusion. no pneumothorax is seen. calcification along the aortic knob is noted. bony structures appear intact.Write the impressions of this report findings [/INST] pulmonary interstitial edema, with small left pleural effusion, new from prior ct. hilar prominence is compatible with known lymphadenopathy. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there has been interval retraction of the endotracheal tube with tip now projecting approximately <num> cm above the carina. right chest tube, right subclavian catheter, and esophageal catheter are in similar positions. there is increased elevation of the right hemidiaphragm and increased right pleural effusion. the left costophrenic angle is not included on this view. mild interstitial edema persists. heart and mediastinal contours appear similar. no pneumothorax is evident on this view.Write the impressions of this report findings [/INST] interval retraction of the endotracheal tube with tip now projecting <num> cm above the carina. these findings were discussed with dr. <unk> by dr. <unk> by telephone at <time> a.m. on <unk> at the time of discovery of these 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>> pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. however, the lungs are hyperinflated. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> underlying trauma board and other external artifact partially obscure the view. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.Write the impressions of this report findings [/INST] no evidence of 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>> frontal and lateral views of the chest. there are small bilateral effusions. the lungs are otherwise clear. there is no pneumothorax. cardiomediastinal silhouette is unchanged. no displaced fracture is identified.Write the impressions of this report findings [/INST] new small bilateral effusions. no visualized displaced 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 provided. patient is slightly rotated to the right. 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>> minimally displaced fractures of the right posterior fifth and sixth ribs are noted along with a small-moderate right apical pneumothorax. bibasilar opacities are noted. otherwise, left hemithorax is normal. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] <num>. minimally displaced fractures of the posterior right fifth and sixth ribs with an associated small-to-moderate right apical pneumothorax. <num>. bibasilar opacities, most likely representative of atelectasis. however, continued followup is recommended. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is normal. the hilar and mediastinal contours are normal. there appears to be consolidation along the left lower lobe with obscuration of the left cardiophrenic angle as well as opacification of the posterior lung base. there is no pneumothorax. there is a small left pleural effusion, as well as mild thickening of a major fissure. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] <num>. there appears to be a focal consolidation along the left lower lobe with obscuration of the left cardiophrenic angle. this could be secondary to a fat pad or atelectasis, however an acute infectious process cannot be ruled out on this study. <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>> the lungs are clear without infiltrate or effusion. compared to the prior study, there is no significant interval change.Write the impressions of this report findings [/INST] no focal infiltrate. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 terminates in the proximal right atrium. 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] left-sided port-a-cath terminates in the proximal right atrium. 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 small left-sided pneumothorax appears unchanged allowing for small differences in technique. other findings are also unchanged.Write the impressions of this report findings [/INST] stable pneumothorax on the left. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 or pneumothorax. hazy opacity is noted over the lower lungs likely prominent breast tissue/gynecomastia. there is blunting of the left cp angle which may represent pleural thickening or a tiny effusion. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. hyperdense specks in the left axilla likely represent deodorant.Write the impressions of this report findings [/INST] no pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are unchanged, particularly prominence of the superior right mediastinum which is likely due to tortuosity of the brachiocephalic vessels. there is no pleural effusion or pneumothorax. degenerative changes are present in the thoracic spine. calcific densities are again seen at the left glenohumeral joint, likely representing loose bodies.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>> single ap view of the chest provided. interval placement of a chest tube whose distal tip projects over the right costophrenic angle. lung volumes are low. mild bibasilar and retrocardiac atelectasis is improved. moderate right pleural effusion is significantly improved. moderate right pneumothorax. cardiomediastinal contours are normal.Write the impressions of this report findings [/INST] <num>. moderate right pneumothorax. <num>. interval placement of a right chest tube with the distal tip projecting over the right costophrenic angle. cannot say whether the drainage apparatus of the tube tip are within the pleural space. <num>. moderate right pleural effusion is significantly improved 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>> pa and lateral chest radiographs. the lungs are hyperexpanded. however, there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided demonstrate left chest wall port-a-cath with tip in the mid svc region. lungs are clear. no signs of pneumonia. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] no 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 a large, rounded, sub- carinal opacity and an additional rounded opacity adjacent the left hilum. lung volumes are low with crowding of the pulmonary vasculature. the lungs are otherwise clear without focal consolidation. heart size is normal without pulmonary vascular congestion or pulmonary edema. no pleural effusions. no pneumothorax. cardiomediastinal hilar silhouettes are normal.Write the impressions of this report findings [/INST] subcarinal and left hilar opacities are concerning for mediastinal/hilar lymphadenopathy. recommend ct chest for further evaluation. recommendation(s): recommend ct chest with contrast for further evaluation of the mediastinum and hila. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 noted with crowding of the bronchovascular markings. left basilar opacity obscuring the left costophrenic angle. cardiomediastinal silhouette is within normal limits for technique. median sternotomy wires and mediastinal clips are noted.Write the impressions of this report findings [/INST] low lung volumes. left basilar opacity may represent any combination of effusion, atelectasis or consolidation </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. midline sternotomy wires again noted. the heart remains mildly enlarged. the mediastinal contour is unchanged. the lungs are clear of focal consolidation, effusion or pneumothorax. no edema or congestion. bony structures are intact.Write the impressions of this report findings [/INST] stable mild cardiomegaly without superimposed 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>> ap and lateral views of the chest are compared to previous exam from earlier the same day at <time> a.m. within limitation of patient body habitus, the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. 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>> the lungs are well aerated and grossly clear without evidence of focal consolidation. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette hilar contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> moderate right pleural effusion with overlying atelectasis is re- demonstrated. right juxta hilar fibrotic changes) could right upper lung atelectasis are again seen as long as right apical opacity. right hilar mass and right lower lobe atelectasis/obstruction, better assessed on prior ct. the left lung is hyperinflated, and aside from mild left base atelectasis/ scarring, is grossly clear. cardiac and mediastinal silhouettes are stable. no frank pulmonary edema is seen. the patient is status post median sternotomy and cardiac valve replacement. single lead left-sided pacemaker is stable in position.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 demonstrate no focal consolidation, effusion or pneumothorax. bony structures are intact. cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] no pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is borderline enlarged. the mediastinal and hilar silhouettes are unremarkable. the lung volumes are preserved; however, there are diffuse generalized increased interstitial markings. there is no pleural effusion, pulmonary edema, or pneumothorax.Write the impressions of this report findings [/INST] increased interstitial markings which may represent early interstitial or fibrotic lung disease. especially given extensive smoking history, ct scan is recommended to better characterize these 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>> ap view of the chest. no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. there is mild cardiomegaly.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. 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. there is no focal consolidation or pulmonary edema. mild blunting of the left costophrenic angle may reflect some pleural thickening or small pleural effusion. no pneumothorax. the cardiomediastinal silhouette and hilar contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lungs are clear. cardiac silhouette is normal. hilar contours are unremarkable. no pleural effusion, pneumothorax, pulmonary edema.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 chest radiographs demonstrate a normal cardiomediastinal silhouette and clear lungs which are hyperinflated, without focal consolidation. a <num> mm focal area of nodularity is seen in the left lung apex and may be inflammatory, although a parenchymal nodule cannot be excluded. the bilateral hemidiaphragms are flattened. there is no pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary process. <num>. a <num> mm focal area of nodularity in the left lung apex may be inflammatory, although a parenchymal nodule cannot be excluded. comparison to prior studies would be helpful, but if not available, a ct chest or <num> month followup chest radiograph 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>> mild cardiomegaly is stable. there is calcification of the mitral annulus. calcified granuloma in the left lower lobe is unchanged. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable. multiple surgical clips project in the right upper quadrant of the abdomenWrite 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 cardiomediastinal silhouette and pulmonary vasculature are unremarkable. again seen is a an esophageal stent, now in a more distal position than on prior examination. multifocal opacity seen on prior examination have resolved. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] <num>. no focal consolidation identified. no pneumomediastinum. <num>. esophageal stent seen on prior examination is in a more distal position on the current examination than on prior. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> when compared to prior, inspiratory effort is improved. the lungs are clear without consolidation or frank pulmonary edema. the cardiomediastinal silhouette is stable noting moderate cardiomegaly. median sternotomy wires are intact. pleural-based density at the right lung base may be due to prominent pleural fat.Write the impressions of this report findings [/INST] cardiomegaly without acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> compared to <unk>, the lung volumes have improved. the vascular pedicle and the heart appear smaller. there is no evidence for pulmonary edema. there is persistent basal atelectasis and small to moderate bilateral pleural effusions. right-sided central line terminates in mid to low svc, unchanged from prior. no pneumothorax is seen. sternotomy wires are aligned and intact.Write the impressions of this report findings [/INST] small bilateral pleural effusion. improved pulmonary edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> compared to the prior exams there has been interval removal swan-ganz catheter and et tube. the right-sided picc line and small left pigtail chest tube are again visualized. there continues to be volume loss at the bases. however, the aeration in the right lung appears slightly improved there small left effusion that is similar in size, and decreased right effusion. the appearance to the mediastinum is similar.Write the impressions of this report findings [/INST] slight improved appearance, particularly on the right </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 of the chest. left picc line ends in the upper right atrium. it has advanced compared to prior study where it ended in the mid-to-lower svc. the lungs are clear. the heart is normal in size. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] the left picc line has been slightly advanced and now ends in the right atrium. suggest pulling back <num> cm. otherwise, normal examination of the chest. no pneumothorax. these findings were discussed with dr. <unk> at <time> a.m. on <unk> by telephone. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable semi upright chest radiograph was obtained. lungs are low in volume resulting in bronchovascular crowding along with right greater than left basal opacities which are likely atelectasis but aspiration could be considered. mild vascular congestion is seen without overt edema. bibasilar linear atelectasis is seen. the heart is top normal in size with tortuous aortic contour. ventriculoperitoneal shunt catheter is seen in the right hemithorax and abdomen. moderate gaseous gastric distention is noted.Write the impressions of this report findings [/INST] low lung volumes with bibasilar opacities, most likely atelectasis though aspiration should be considered. mild 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>> as compared to the prior chest radiograph from <unk>, there has been significant interval decrease in apparent number of pulmonary nodules, however, pulmonary nodules overall appear increased in size with more recent progression of metastatic disease seen on recent ct. pulmonary nodules on current radiography were better assessed on ct. no definite new focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are ear similar to scout radiograph from chest ct from <unk> right-sided port-a-cath terminates at the proximal right atrium. .Write the impressions of this report findings [/INST] multiple bilateral pulmonary nodules consistent with patient's known pulmonary metastases, better assessed on recent chest ct. no definite new focal consolidation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> compared to <unk>, there has been interval removal of the chest tube. there is decreased in left upper lobe and left basal opacity. residual left pleural effusion is small. the lateral pleural abnormality is not seen on today's exam. the right lung is grossly clear. the heart size is mildly enlarged and unchanged from prior. the mediastinal contours are unchanged from prior. surgical clips are seen in the left upper lobe. left subdiaphragmatic drain is seen. no pneumothorax is seen.Write the impressions of this report findings [/INST] improved appearance of left pleural effusion with minimal residual 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 radiographs of the chest demonstrate low lung volumes. clear lungs. the cardiac silhouette is stably enlarged. unchanged calcification of the aortic knob and aortic tortuosity. no pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] no convincing evidence for pneumonia. change in read from preliminary to final report discussed with dr <unk> by dr <unk> at <time> am <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>> in comparison with chest radiograph from <num> day earlier, there is no significant change. enteric feeding tube terminates in the proximal stomach with side ports beyond the gastroesophageal junction. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are stable. heart size is normal.Write the impressions of this report findings [/INST] <num>. no evidence of pneumonia. <num>. enteric feeding tube terminates in 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. 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 are a small-moderate bilateral pleural effusions and moderate pulmonary edema. enlargement of cardiac silhouette is again seen. tortuosity of the thoracic aorta is again noted. no acute osseous abnormalities.Write the impressions of this report findings [/INST] small-moderate bilateral pleural effusions and moderate pulmonary edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with top-normal heart size. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. patient is status post median sternotomy and cabg.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.Write the impressions of this report findings [/INST] no evidence of acute disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation, effusion, or vascular congestion. cardiac silhouette is top-normal in size. median sternotomy wires and coronary artery stents are identified. 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>> single upright view of the chest provided. there is no focal consolidation, effusion, or pneumothorax. streaky left lower lobe atelectasis is similar to prior. moderate cardiomegaly is similar to prior. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. aortic arch calcification appears similar to prior.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a nasogastric tube is been removed. a right internal jugular catheter is unchanged in position, terminating at the cavoatrial junction. bilateral perihilar airspace opacities are similar to slightly worsened when compared to the prior study. bilateral pleural effusions, larger on the right, and bibasilar atelectasis is stable when compared to the prior study. no pneumothorax seen. the visualized bony structures are unremarkable in appearance.Write the impressions of this report findings [/INST] similar to slightly with worsened appearances of the bilateral perihilar airspace opacities most consistent with pulmonary edema. unchanged bilateral pleural effusions and bilateral lower lobe atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest 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>> compared with the prior study and allowing for significant differences in positioning, degree of vascular plethora may be slightly increased. there is also slight blurring due to respiratory motion. left lower lobe collapse and/or consolidation is again seen. the right hemidiaphragm is much less well delineated --<unk> could be an artifact of positioning, but suggests the presence of collapse and/or consolidation at the right lung base. no gross pleural effusion, though small effusions would be difficult to exclude. the cardiomediastinal silhouette is probably unchanged. clips again noted in the the region of the ge junction. et tube tip lies <num> cm above the carina. right ij central line lies near the cavoatrial junction, unchanged. ng type tube extends beneath the diaphragm to overlie the proximal stomach. no pneumothorax is detected.Write the impressions of this report findings [/INST] probable slight interval increase in degree of chf findings. persistent left lower lobe collapse and/or consolidation. new poor visualization of the right hemidiaphragm raises the possibility of right base collapse and/or consolidation, this appearance could be accentuated by differences in the patient position. . </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are ill-defined opacities in the right mid and lower lung zones. additionally, a more subtle opacity is present in the left mid lung zone. there is no pneumothorax. a small right pleural effusion may be present. there is no left pleural effusion. the mediastinal contours are normal. the heart size is mildly enlarged.Write the impressions of this report findings [/INST] bilateral ill-defined consolidations could represent either asymmetric non-cardiogenic pulmonary edema or 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>> lung volumes are improved from <unk>, with improvement in atelectasis of the right lower lobe, though some remains. left greater than right airspace opacity is again seen, concerning for multifocal pneumonia. dense left basilar atelectasis and left perihilar radiation injury is unchanged. a small left greater than right pleural effusion is unchanged. the cardiac silhouette and mediastinal contours are similar. a left picc tip is seen within the distal brachiocephalic vein. there is no pneumothorax.Write the impressions of this report findings [/INST] bilateral airspace consolidations are concerning for multifocal pneumonia, but documentation of resolution following treatment is recommended to exclude neoplasm. persistent pleural effusions. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there has been interval placement of a left-sided pacemaker with <num> leads seen in appropriate position. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is mildly increased retrocardiac opacity from the prior study which likely represents atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] left-sided dual lead pacemaker seen in appropriate position. increased retrocardiac opacity most likely representative of atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest show no consolidation, pleural effusion, pulmonary edema, or pneumothorax. linear opacities at the left base are likely scarring and unchanged from the prior chest radiograph in <unk>. prominence of the pulmonary vasculature is also unchanged. cardiac size is normal. the mediastinal contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiomediastinal silhouette appears enlarged. there are bilateral hazy interstitial opacities representative of moderate pulmonary edema. more focal opacities are noted at the right lung base representative of atelectasis; however, pneumonia must be excluded in proper clinical setting. no acute fractures identified.Write the impressions of this report findings [/INST] <num>. enlarged cardiomediastinal silhouette with pulmonary edema. <num>. more focal opacities noted at the right lung base may represent atelectasis. however, pneumonia must be excluded in the proper clinical setting. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lungs are well expanded. minimal bibasilar atelectasis is present but no focal opacity is seen. no pleural effusion or pneumothorax. heart size is mildly enlarged, unchanged. icd device is in unchanged location.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 size cannot be evaluated. upper mediastinum is normal. there is no pneumothorax. moderate to large bilateral effusions with adjacent atelectasis are grossly unchanged allowing the difference in positioning of the patient. left pigtail catheter has been removed. the upper lungs are clearWrite the impressions of this report findings [/INST] stable pleural effusions with adjacent atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are low lung volumes, with bibasilar atelectasis. the post-operative mediastinum appears widened with loss of normal mediastinal landmarks. a chest tube is in place. there is no pneumothorax. right-sided thoracotomy changes are present.Write the impressions of this report findings [/INST] wide post-operative mediastinum, which may reflect postoperative changes, but mediastinal hematoma could produce a similar appearance. short-term followup radiographs and clinical correlation are advised. no pneumothorax. these findings were discussed with dr. <unk> at <time> p.m., and it was confirmed that an endotracheal tube was not 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>> the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. the thoracic aorta is tortuous. there is rightward curvature of 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 endotracheal tube ends approximately <num> cm above the carina. moderate cardiomegaly, is unchanged since the prior study. patchy consolidation of the right upper lobe along the mediastinal border is seen. pleural effusions, if any, are small. bilateral calcified pleural plaques are present. moderate pulmonary edema is noted. the gastric tube courses through the stomach, and out of view.Write the impressions of this report findings [/INST] <num>. et tube ends <num> cm above the carina, and could be withdrawn a few cm for optimal positioning. <num>. moderate pulmonary edema. right upper lobe paramediastinal consolidation, which may represent acute infection or asymmetric 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>> lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. there is no evidence of focal opacity concerning for an infectious process. no pleural effusion or pneumothorax. previously identified bochdalek hernia is again noted on the lateral film, measuring <num> x <num> cm.Write the impressions of this report findings [/INST] no acute 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>> severe cardiomegaly persists. a left subclavian vascular stent is re- demonstrated. mediastinal contours are unchanged. there is pulmonary vascular congestion,slightly worse in the interval. a small amount of fluid is noted within the minor fissure. no focal consolidation, pleural effusion or pneumothorax is demonstrated.Write the impressions of this report findings [/INST] pulmonary vascular congestion, slightly worse in the interval. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> supine portable view of the chest demonstrates pacemaker device leads terminating in the right atrium and right ventricle, unchanged. lung volumes are normal. there is no pleural effusion or pneumothorax. biapical scarring is present. the heart is moderately enlarged. retrocardiac opacities likely represent atelectasis. hilar and mediastinal silhouettes are unchanged. mediastinal contour remains enlarged, which likely relates to tortuous aorta. the aortic arch calcifications are present.Write the impressions of this report findings [/INST] <num>. pacemaker devise is in place and is unchanged in position. <num>. moderate cardiomegaly, 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>> cardiac silhouette is enlarged but stable in size. aorta is mildly tortuous. pulmonary vascularity is normal. the lungs are clear. there are no pleural effusions or acute skeletal findings.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>> mild decrease in subcutaneous emphysema along the right lateral chest wall, right breast and right lateral neck. again seen is a <num> cm rounded opacity partially projecting over the right lower hemi thorax consistent with a small hematoma likely related to chest tubes. mild right lower lobe atelectasis is stable. left lung is clear. no significant change in small right pneumothorax. no left pneumothorax. trace right pleural effusion. no left pleural effusion. heart size and mediastinal contour are otherwise unremarkable. chain sutures are again seen within the left upper lobe and right lower lobe. a right ij cvl tip is in the low svc. an enteric feeding tube courses midline with tip out of field of view and side port not visualized. <num> right-sided chest tubes are in appropriate position, unchanged since prior examination. endotracheal tube is in appropriate position at the level of thoracic inlet.Write the impressions of this report findings [/INST] <num>. support lines and tubes in appropriate position. specifically, endotracheal tube at level of thoracic inlet. <num>. mild decrease in subcutaneous emphysema along right lateral chest wall, right breast and right lateral neck. <num>. stable small right breast/chest hematoma, likely post procedural. <num>. stable mild right lower lobe atelectasis with trace right pleural effusion. <num>. stable small right 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>> small right pneumothorax has decreased in size. otherwise stable examWrite the impressions of this report findings [/INST] small right pneumothorax persists but has decreased compared to <unk> at <time>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the previous pulmonary edema has substantially improved. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is moderately enlarged.Write the impressions of this report findings [/INST] improving pulmonary edema. continued moderate cardiomegaly. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lines and tubes are in appropriate and stable position. the cardiac silhouette is prominent. the mediastinal and hilar contours are within normal limits allowing for low lung volume. there is mild to moderate perihilar vascular congestion. there is increasingly dense retrocardiac consolidation, in the setting of fever, could represent pneumonia. there are bilateral pleural effusions. upper lungs are well aerated. there is no pneumothorax. preiously seen gastric air distention has resolved. several clips are seen projecting over the left hemithorax laterally.Write the impressions of this report findings [/INST] progressive left lower lobe consolidation and small effusion in the setting of fever is 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>> since <unk>, increased atelectasis at the left base is responsible for more leftward shift of the mediastinum. there is no pneumothorax pleural effusion if present is small. moderate cardiomegaly is chronic. subcutaneous emphysema the persists in the left lateral chest wall and supraclavicular region following removal of left pleural drains has improved in the neck, not appreciably changed in the incompletely imaged chest wall.Write the impressions of this report findings [/INST] <num>. increase in left lung base atelectasis. <num>. no 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>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. surgical clips overlie the bilateral mid lung, consistent with history of prior breast surgery.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. moderate multilevel degenerative changes are noted in the thoracic spine. <num> biliary stents are seen in the right upper quadrant of the abdomen along with several adjacent fiducial markers. no acute osseous abnormality is 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>> frontal and lateral views of the chest. when compared to prior, there has been essentially complete resolution of the opacity in the left lower lobe. there is vague persistent right mid lung opacity identified which is likely due to scarring given stability. there is no effusion or new consolidation. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary process, specifically no evidence of cardiomegaly. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest were obtained. per the radiologist note, patient has anterior to posterior chest pain under the right breast area. involving the lateral segment of the right middle lobe, there is a wedge-shaped opacity. there are also is apparent focal mild elevation of the right hemidiaphragm. findings may be due to focal lung collapse. in the appropriate clinical setting, a pulmonary infarct would not be excluded. left lung is clear. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no displaced rib fracture is seen, although if clinical concern for rib fracture, suggest dedicated rib series as this is more sensitive.Write the impressions of this report findings [/INST] lateral right middle lobe wedge-shaped opacity with possible focal mild elevation of the right hemidiaphragm. correlate with any history of recent trauma or procedure at this site if clinical concern for pulmonary embolism, as this cannot be excluded. the above findings were discussed with dr. <unk> by dr. <unk> at the <unk> emergency department on <unk> after the conclusion of this 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>> small bilateral pleural effusions are slightly enlarged since the <time> am examination. there is new pulmonary vascular congestion and mild pulmonary edema. a left-sided picc terminates at the lower svc. there is no pneumothorax.Write the impressions of this report findings [/INST] new central pulmonary vascular congestion and mild pulmonary edema, with slight enlargement of small bilateral pleural effusions. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> as compared to chest radiograph from <num> day prior, multifocal airspace opacities, more pronounced in the left lower lobe have increased can be worsening infection. right lower lobe multi focal opacities are stable. no pulmonary vascular congestion. no pneumothorax. mild cardiac enlargement. no significant effusions.Write the impressions of this report findings [/INST] increasing multifocal airspace opacities, in the left lower lobe can be worsening pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest demonstrate a retrocardiac opacity in the left lower lobe, with obscuration of the left hemidiaphragm on the frontal view, raising concern for aspiration or infection in the given clinical context. small left pleural effusion is present. there is no evidence of pneumothorax. the visualized portions of the right lung are relatively clear, although the right costophrenic sulcus is excluded on the frontal view. no right pleural effusion is noted. the moderate cardiomegaly is unchanged without pulmonary vascular congestion. there is no subdiaphragmatic free air.Write the impressions of this report findings [/INST] <num>. left lower lobe opacity may reflect pneumonia or aspiration in the current clinical context with a small left pleural effusion. <num>. stable moderate cardiomegaly. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> again seen is the right apical pneumothorax. this is similar size compared to the study from earlier the same day. the appearance of the lungs, heart, and mediastinum are unchanged.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>> a tracheostomy tube is in stable position. an ivc filter is partially imaged in the upper abdomen. the lungs are well expanded without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the heart remains top normal in size and the mediastinal contours are within normal limits with slight unfolding of the thoracic aorta. no acute osseous abnormality is detected.Write the impressions of this report findings [/INST] no focal 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 cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia or mass. pulmonary vasculature is 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>> the heart is mildly enlarged in the thoracic aorta is tortuous. lungs are clear. there is no pleural effusion or pneumothorax. no displaced fractures are seen.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>> ap upright and lateral views of the chest provided. mild cardiomegaly again noted. there is mild hilar congestion with interstitial pulmonary edema. no large effusion or pneumothorax. no overt signs of pneumonia though subtle pneumonia difficult to exclude in the correct clinical setting. calcific densities overlie the left scapula as on prior. degenerative changes at the right shoulder noted.Write the impressions of this report findings [/INST] mild interstitial pulmonary edema. difficult to exclude a superimposed subtle 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. the lungs appear clear. there are no pleural effusions or pneumothorax. 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>> endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, out of the field-of-view. left-sided aicd, triple lead, is stable in position. the patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are grossly stable, with moderate cardiomegaly. there is moderate to severe pulmonary edema. a right pleural effusion is likely present. no pneumothorax is seen.Write the impressions of this report findings [/INST] endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, out of the field-of-view. moderate to severe pulmonary edema. likely 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>> pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. previously described findings remain unchanged. they include the area of suprahilar density to which a fiducial marker is attached. no pneumothorax has developed. the pleural densities obliterating the right lateral and posterior pleural sinus remain unchanged. no new pulmonary abnormalities are identified.Write the impressions of this report findings [/INST] stable chest findings, no evidence of increasing pleural effusion. most likely pleural densities represent remaining scar formations. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiac silhouette is top normal. the mediastinal and hilar contours are normal. there is mild bibasilar atelectasis.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. 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>> endotracheal tube tip is <num> cm above carina, similar, should be pulled back. stable position of vascular stent projected over right lower hilum. subclavian central line tip at the confluence of brachiocephalic veins, stable. enteric tube has been removed. there is residual contrast in the renal collecting system. very shallow inspiration. stable bilateral perihilar, basilar opacities, likely atelectasis. trace left pleural effusion, similar. shallow inspiration accentuates heart size, pulmonary vascularity.Write the impressions of this report findings [/INST] endotracheal tube tip is <num> cm above carina, should be pulled back. stable cardiopulmonary findings. vascular stent projected over lower right hilum 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>> in comparison to the chest radiographs obtained <num> day prior, a right-sided picc is not seen terminating in the lower svc. lung volumes are lower, but no other significant changes are appreciated. mild pulmonary edema and moderate cardiomegaly are unchanged. small, right greater than left pleural effusions are unchanged. a left-sided ij central venous catheter terminates at the confluence of the left brachiocephalic vein and svc and the right-sided ij dialysis catheter terminates in the right atrium with a side port in the lower svc. tracheostomy tube is unchanged in position.Write the impressions of this report findings [/INST] unchanged, mild pulmonary edema with small, bilateral pleural effusions. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest are compared to previous exam from <unk>. despite lower lung volumes on the current exam, the lungs remain clear. there is no effusion nor pulmonary vascular congestion. cardiac silhouette is within normal limits. the osseous and soft tissue structures are unremarkable. surgical clips are seen in the right upper quadrant suggesting prior cholecystectomy.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. 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 intrathoracic process. no displaced rib fracture seen. however, please note that if clinical concern is high, dedicated rib series or ct is more sensitive. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 earlier the same day, i doubt significant interval change. again seen is cardiomegaly, upper zone redistribution, and increased interstitial markings, including focally more pronounced areas in the left mid and lower zones and in the right cardiophrenic region. as before, it is uncertain whether these represent acute or chronic findings and whether they represent a a single process alone or a process superimposed on some background interstitial changes. the potential differential includes background scarring, interstitial edema, inflammatory infectious processes. the presence of more confluent opacity at the left mid-zone makes it difficult to exclude an acute pneumonic infiltrate.Write the impressions of this report findings [/INST] increased interstitial markings, with focally pronounced areas in left mid zone and both bases, similar to a film obtained earlier the same day. the possibility of a focal pneumonic infiltrate cannot be excluded. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the visualized mediastinal structures are unremarkable. there is no cardiomegaly. the lungs fields are clear. no focal consolidations are noted. no pneumothoraces or effusions are appreciated.Write the impressions of this report findings [/INST] no evidence of pneumonia or other 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>> to suggest pneumonia. heart is normal size and there is no pneumothorax or pleural effusion. patient has had right axillary surgery, right breast implant, and has.Write the impressions of this report findings [/INST] apparent <num> small right lung nodules at the level of the third anterior rib and interspace and perhaps a third at the level of the right fifth rib is not corroborated on the chest cta performed <num> hours earlier. these are probably rib lesions and pleural thickening, respectively. there are no findings of pneumonia, pulmonary edema, or pleural effusion. heart size is normal. 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>> frontal and lateral views of the chest demonstrate normal heart size. mediastinal and hilar contours are within normal limits. atherosclerotic calcifications are present in the aortic arch. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. there is no evidence of nodule or mass. mild lower thoracic spondylosis is present.Write the impressions of this report findings [/INST] no acute cardiopulmonary process such as pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lung volumes are slightly low. mild to moderate enlargement of the cardiac silhouette is unchanged. the aortic knob is calcified. mediastinal and hilar contours are similar with enlargement of the right hilum appearing unchanged. pulmonary vasculature is not engorged. patchy opacity is seen in the left lower lobe, as noted on the prior examinations, and likely reflective of chronic bronchiectasis with bronchial wall thickening, atelectasis and chronic aspiration. no new focal consolidation is present. no large pleural effusion is present with chronic blunting of the right costophrenic sulcus likely due to chronic pleural thickening. no pneumothorax is seen. patient is status post bilateral shoulder arthroplasties, incompletely imaged.Write the impressions of this report findings [/INST] patchy left lower lobe opacity, as seen on the previous exams, and likely reflective of chronic bronchiectasis with atelectasis and chronic aspiration, better detailed on the previous ct. no new focal consolidation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> 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 appears mild-to-moderately enlarged and perhaps somewhat increased in size. the widened appearance to the mid upper mediastinum appears similar, allowing for small differences in rotation. similar to prior findings, there is volume loss at the right lung base and rightward shift of mediastinal structures, suggesting substantial atelectasis. the lateral view suggests convex opacification of the posterior left costophrenic sulcus, indicating parenchymal opacification, pleural effusion or both, which is not very well seen on the frontal view. this appearance obscures visualization of the posterior right hemithorax on the lateral view, but the frontal view shows no evidence for change. comparing to a prior lateral view available from <unk>, posterior opacities have decreased, however. the left shoulder remains dislocated.Write the impressions of this report findings [/INST] stable appearance of the chest, including cardiomegaly, mediastinal widening, volume loss and atelectasis in the right hemithorax, probably chronic. possible pleural effusion on the left, potentially loculated, although probably not an 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>> single portable upright frontal image of the chest. the right-sided picc terminates in the low svc. the lungs are hyperinflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.Write the impressions of this report findings [/INST] <num>. right-sided picc terminating in the lower svc. <num>. hyperinflated lungs. findings regarding picc placement were communicated to <unk> at <time> a.m. on <unk> by page. findings were communicated to dr. <unk> at <time> a.m. on <unk> by phone. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours appear stable. elevation of the left hemidiaphragm is similar, including elevation of the stomach bubble. this appearance may correspond to a bochdalek hernia, but does not appear changed. streaky associated opacities can probably be explained by atelectasis. the lung fields appear otherwise clear. the chest is hyperinflated. trace pleural effusions are difficult to exclude. the bones appear demineralized. a prior fracture of the proximal left femur appears stable. mild s-shaped curvature to the thoracolumbar spine appears unchanged.Write the impressions of this report findings [/INST] no evidence of acute process. stable appearance of the chest. </s>