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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>> bibasilar opacities are most likely atelectasis. the lungs are otherwise 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>
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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>> endotracheal tube appears in place at <num> cm from the carina. enteric tube traverses to the stomach. median sternotomy wires, mitral valve prosthesis, and vascular stents projecting over the region of the brachiocephalic and right subclavian vein appear unchanged. cardiac and mediastinal contours appear unchanged. there is however a new right basilar opacity with obscuration of the right hemidiaphragm which may be due to atelectasis or aspiration. retrocardiac opacity is again noted and may be representative of atelectasis or infection, possibly due to aspiration. there is no pneumothorax. small bilateral pleural effusions likely persists.Write the impressions of this report findings [/INST] new right basilar opacity with persistant retrocardiac opacity. these findings are suspicious for aspiration with possible overlying infection in the proper clinical setting versus atelectasis. support structures appear in place. continued followup is recommended. </s>
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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. heart size and cardiomediastinal contours are normal. calcification of the aortic knob is stable. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
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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>> the nasogastric tube is still coiled within the distal esophagus and is kinked. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.Write the impressions of this report findings [/INST] nasogastric tube remains coiled in the distal esophagus. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. mild cardiomegaly and tortuous aorta are stable. there is mild bibasilar atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. mild bibasilar atelectasis. </s>
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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>> sutures are present in the right mid lung zone and unchanged from prior exams, consistent with patient's prior history of surgery. there is stable elevation of the right hemidiaphragm, likely from volume loss. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. mild cardiomegaly is unchange. aortic calcifications are noted in the aortic arch. there is an unchanged compression deformity in t<num> with evidence of a prior vertebroplasty. no new compression fractures are visualized.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary process. <num>. stable mild cardiomegaly. <num>. stable t<num> compression. </s>
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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>> cardiomediastinal and hilar contours are stable. there is no pneumothorax or large pleural effusion. lungs are well-expanded without focal consolidation concerning for pneumonia. post cabg changes are again noted.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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 chest radiographs again demonstrate bilateral pleural effusions, left greater than right, with associated atelectasis. heterogeneous consolidation in the left mid and lower lung lobe is increased compared to <unk>, concerning for worsening pneumonia. cardiac size is likely normal. there is no pneumothorax.Write the impressions of this report findings [/INST] <num>. worsened pneumonia, left lung and persistent and recurrent bibasilar atelectasis attributed to chronic aspiration on the report of the intervening chest ct. <num>. unchanged bilateral pleural effusions, left greater than right. . </s>
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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>> the lungs are clear without focal consolidation, effusion, or edema. cardiac silhouette is top-normal in size. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. mildly elevated left hemidiaphragm and minimal left lung base opacity, likely atelectasis, are again noted. 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>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest again demonstrate bilateral pleural plaques. there is no focal consolidation, pleural effusion, or evidence of pneumothorax. indiscrete obscuration of the right lung base seen on pa view may represent an area of plate-like atelectasis. the cardiomediastinal silhouette is stable.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary process. indiscrete obscuration of right lung base may represent an area of plate-like atelectasis. <num>. bilateral calcified pleural plaques. </s>
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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>> low lung volumes persist and there is mild right base atelectasis. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are stable.no focal consolidation is seen. no pleural effusion or pneumothorax is seen.Write the impressions of this report findings [/INST] low lung volumes and basilar atelectasis. no definite focal consolidation. </s>
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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 chest radiograph demonstrates well expanded lungs. there is no focal consolidation. no appreciable pleural effusion is identified. there is mild cardiomegaly without pulmonary edema. no pneumothorax.Write the impressions of this report findings [/INST] no radiographic findings to explain dyspnea on exertion. </s>
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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>> the cardiac size is normal. the ascending aortic silhouette is mildly prominent. lung volumes are slightly low, causing bronchovascular crowding. however, no focal consolidation, pleural effusion, or pneumothorax. no evidence of free subdiaphragmatic air on this partially upright view.Write the impressions of this report findings [/INST] no evidence of free subdiaphragmatic air. however, since this is not a completely upright view, free air cannot be excluded. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no consolidation, pleural effusion or pneumothorax. streaky bibasilar opacities likely represent atelectasis. no evidence of pulmonary edema. cardiomediastinal contours are unchanged. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no evidence of pulmonary edema. </s>
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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>> median sternotomy wires appear intact. surgical clips project over the mediastinum and left upper quadrant. lung volumes are normal. faint opacities at the left base partially obscuring the left hemidiaphragm may reflect atelectasis or pneumonia. no pleural effusion or pneumothorax. heart size is normal. the aorta is calcified and unfolded. s-shaped curvature of the thoracolumbar spine is re-demonstrated.Write the impressions of this report findings [/INST] possible atelectasis, aspiration or pneumonia at the left base. recommend followup radiographs to ensure resolution of this finding. </s>
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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>> some thickened septal lines are seen in the lower lungs, compatible with early phase pulmonary edema. lungs are otherwise clear and the pulmonary vasculature is not particularly dilated or plethoric. lungs are hyperinflated and the diaphragm is flattened consistent with air trapping and/or emphysema. incidental note is made of well-healed right eighth and ninth rib fractures.Write the impressions of this report findings [/INST] minimal pulmonary edema. chronic moderate cardiomegaly. copd </s>
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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>> moderate right pleural effusion has increased from <unk> study that followed thoracentesis and again appears to have a fissural component. moderate cardiomegaly is unchanged. the hila are unremarkable. the left lung is clear. no pneumothorax is seen.Write the impressions of this report findings [/INST] increased moderate right pleural effusion with fissural component. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were provided. midline sternotomy wires, mediastinal clips, and dual-lead pacer are unchanged with lead tips extending to the region of the right atrium and right ventricle. the heart is normal in size and shape. no effusion or pneumothorax. no focal consolidation or signs of pulmonary edema. the heart and mediastinal contours are stable. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] no acute findings in the chest. </s>
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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>> tracheostomy tube tip is in standard position. cardiac silhouette size is mildly enlarged but unchanged. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. resection of the distal aspect of the left clavicle is again noted. percutaneous gastrostomy catheter is incompletely imaged.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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 upright and lateral views of the chest provided. small bilateral pleural effusions are present. there is mild pulmonary interstitial edema. heart size is normal. the mediastinal contour is prominent which is in part further assessed on the same day ct neck. no pneumothorax. bony structures are intact.Write the impressions of this report findings [/INST] <num>. small bilateral pleural effusions with mild pulmonary edema. <num>. prominent mediastinal contour likely reflects lymphadenopathy as partially imaged on ct neck from earlier today. </s>
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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>> an opacity in the left mid lung zone with associated rib abnormalities and a soft tissue mass is not significantly changed from the prior chest radiograph. this is consistent with the known large chest wall mass, previously characterized on the recent ct. in comparison to prior exam, the lung volumes are lower. there is a new right patchy basilar consolidation. emphysematous changes are stable. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] <num>. new patchy opacification at the right base; possibly due to a new pneumonia. recommend follow-up radiographs after treatment to ensure resolution. <num>. stable appearance of the left mid lung zone opacity and chest wall deformity, consistent with the known large chest wall mass. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs demonstrate low lung volumes. the right mid lung is faintly opacified, new since <unk>. mild cardiomegaly is unchanged and there is no pulmonary vascular congestion or pleural effusion. left-sided pacemaker leads terminate in the standard position. there is no pneumothorax.Write the impressions of this report findings [/INST] right mid lung opacity is new since <unk> and would be best evaluated with ct-chest. findings were added to radiology critical communication system. </s>
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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>> left-sided pacemaker device is noted with single lead terminating in right ventricle. the heart size is normal. mediastinal and hilar contours are unremarkable. focal consolidative opacities within the right upper lobe as well as within the right middle lobe are concerning for areas of pneumonia. left lung is clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.Write the impressions of this report findings [/INST] right upper and middle lobes opacities concerning for multifocal pneumonia. followup radiographs after treatment are recommended to ensure resolution of these findings. </s>
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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>> a weighted feeding tube is demonstrated with tip in the stomach. heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged with mild tortuosity of the thoracic aorta again noted. diffuse atherosclerotic calcifications are seen within the aorta. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there is evidence of prior vertebroplasty at the thoracolumbar junction.Write the impressions of this report findings [/INST] nasogastric tube tip within the stomach. no acute cardiopulmonary abnormality. </s>
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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>> cardiac silhouette size is mildly enlarged but unchanged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. anterior osteophytes are seen in the lower thoracic spine.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
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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>> lung volumes are low. the heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. there is crowding of the bronchovascular structures, but no overt pulmonary edema is demonstrated. patchy opacities in the lung bases likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. mild dextroscoliosis of the thoracolumbar spine is demonstrated with moderate to severe multilevel degenerative changes.Write the impressions of this report findings [/INST] low lung volumes with probable bibasilar atelectasis. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. airspace opacity within the right upper lobe and to a lesser extent right lower lobe remains concerning for pneumonia. relative prominence of the right pulmonary hilum could reflect the presence of reactive lymph nodes, though underlying mass is difficult to exclude. the left lung is clear. patient is known to have emphysema. the heart size is stable. bony structures are intact.Write the impressions of this report findings [/INST] persistent opacity in the right lung could represent pneumonia. right hilar prominence in the setting of treated pneumonia is concerning for underlying malignancy and ct is advised. findings were discussed with dr. <unk>. </s>
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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>> a right ij line ends in the region of the right atrium. lung volumes are low and there is moderate atelectasis at the lung bases. the cardiomediastinal silhouette is unchanged. . the lung fields otherwise clear. elevation of left hemidiaphragm is unchanged.Write the impressions of this report findings [/INST] a right ij line ends in the region of the right atrium. </s>
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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>> the patient is status post sternotomy and cabg, with sternotomy wires that appear intact and appropriately aligned. there is a new rounded opacity projecting over the right mid lung, localized to the the right upper lobe on the lateral view. the moderate sized right pleural effusion is unchanged. there is a new small left pleural effusion. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pneumothorax is seen. there is heavy calcification of the mitral annulus. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] <num>. rounded opacification in the right upper lobe, representing pneumonia. <num>. unchanged moderate right pleural effusion, small left pleural effusion. </s>
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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>> heart size remains mildly enlarged. mediastinal and hilar contours are unremarkable. low lung volumes cause crowding of the bronchovascular structures but no overt pulmonary edema is demonstrated. no focal consolidation, pleural effusion or pneumothorax is visualized. multiple clips as well as a bullet are seen within the posterior aspect of the right upper quadrant pain, unchanged. no acute osseous abnormalities are demonstrated.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
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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. right lower lobe consolidation has significantly decreased in the interval, with mild residua remaining. there is near-diffuse opacity of the left hemithorax with some areas of lucency in the left lung and the left upper lobe which may represent slightly improved aeration. there is subsequent again marked hyperexpansion of the right lung with displacement of the mediastinal contours to the left. patient has reported history of prior left lower lobectomy. the cardiac and mediastinal silhouettes are unable to be accurately assessed due to the left hemithorax opacification. there is severe compression of a vertebral body at the thoracolumbar junction, without significant interval change. posterior fusion hardware is also seen at the upper lumbar spine again.Write the impressions of this report findings [/INST] <num>. interval improvement in superior right lower lobe consolidation with mild residual opacity remaining. suggest followup to resolution. <num>. status post left lower lobectomy with chronic opacity involving a significant portion of the left hemithorax and left-sided volume loss. there is slightly improved aeration of the left upper lobe. </s>
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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>> single ap view of the chest provided. stable prominence of the bilateral pulmonary arteries, however the heart is normal in size, although slightly larger from <unk>. there is no pleural effusion or pulmonary edema. lungs are grossly clear. no pneumothorax.Write the impressions of this report findings [/INST] pulmonary arteries are prominent, unchanged from <unk>. however, the heart is normal in size, although mildly larger from <unk>, and there is no evidence of pulmonary edema or pleural effusion. </s>
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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 view of the chest provided. left pacemaker is in stable position. ett ends <num> cm above the carina. transesophageal tube courses below the level of the diaphragm and the tip projects over the proximal stomach. new swan-ganz catheter ends in the right main pulmonary artery. perihilar opacities are improved. no pneumothorax. small, bilateral pleural effusions are unchanged. minimal bibasilar atelectasis is unchanged. hilar and cardiomediastinal contours are normal.Write the impressions of this report findings [/INST] perihilar opacities are improved from <unk>. findings are most consistent with resolving mild pulmonary edema. </s>
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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. the lateral views are somewhat underpenetrated in part due to the patient's overlying arm. given this, there is persistent mild elevation of the right hemidiaphragm. minimal left basilar atelectasis is seen. there is no focal consolidation. no large pleural effusion is seen. slight blunting of the right costophrenic angle is chronic. the cardiac and mediastinal silhouettes are grossly stable as comparison with <unk>. no overt pulmonary edema is seen.Write the impressions of this report findings [/INST] likely left basilar atelectasis. otherwise, no acute cardiopulmonary process. </s>
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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>> the heart is at the upper limits of normal size. the lung volumes are low. allowing for change in lung volumes, the mediastinal and hilar contours are probably unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.Write the impressions of this report findings [/INST] no evidence of acute disease. </s>
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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>> the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are relatively low lung volumes. given this, no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal to mildly enlarged in size. mediastinal contours unremarkable. no pulmonary edema is seen.Write the impressions of this report findings [/INST] top normal to mildly enlarged cardiac silhouette without pulmonary edema. </s>
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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>> the tracheostomy tubes, chest tube, gastrostomy tube, and the bilateral bronchial stents are unchanged. there is complete opacification of the right lung, which is a progression from previous chest radiograph. the new right lower lung opacification could represent increased pleural effusion and progression of the right lung mass with now more vertical orientation of the right mainstem bronchus. the left lung is clear with persistent lower lobe atelectasis and pleural effusion. no pneumothorax. no fractures.Write the impressions of this report findings [/INST] <num>. no bronchial stent migration. <num>. complete opacification of the right hemithorax which may represent progression of the right lung mass and pleural effusion. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are persistent bilateral pleural effusions however the right-sided effusion has decreased and is now small. no pneumothorax seen. bibasilar atelectasis persists. a right-sided dialysis catheter and thoracic he prior stents are unchanged in appearance. previous median sternotomy noted.Write the impressions of this report findings [/INST] interval decrease in size of the right pleural effusion. otherwise, no change </s>
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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>> no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. no pulmonary edema is seen. there is no displaced fracture.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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>> the heart is again mild to moderately enlarged. the mediastinal and hilar contours appear stable. the lung volumes are low. patchy opacity obscuring the left costophrenic angle is probably due to atelectasis rather than pneumonia or pleural effusion. no pneumothorax is evident. pulmonary vessels are relatively enlarged but well defined, perhaps with upper zone re-distribution, although probably unchanged and suggesting at most mild venous hypertension.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary disease. </s>
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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>> moderate to severe cardiomegaly is a stable. widening mediastinum has increased due to engorgement of the vessels. moderate pulmonary edema has worsened. there is no pneumothorax. left pleural effusion is a smallWrite the impressions of this report findings [/INST] moderate pulmonary edema </s>
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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>> the heart is mildly enlarged. there is no pneumothorax or pleural effusion. bibasilar linear opacities likely reflect atelectasis, though a left basilar retrocardiac opacity with small air bronchograms may reflect a small underlying consolidation, difficult to differentiate from focal atelectasis. there is persistent elevation of left hemidiaphragm. the central pulmonary vessels are engorged, without overt edema.Write the impressions of this report findings [/INST] small retrocardiac opacity at the left base may represent a small consolidation, versus focal atelectasis. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a small left apical pneumothorax. the pneumothorax is not appreciated in the prior exam from <unk>, likely due to suboptimal patient position. left chest tube is in unchanged position. small opacities surrounding the chest tube entrance site is stable. there is no new focal opacity. there is no large pleural effusion. left clavicular surgical hardware is intact.Write the impressions of this report findings [/INST] small left apical pneumothorax. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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>> moderate right-sided pleural effusion with associated volume loss is new compared to prior. the lungs are otherwise clear. the hila and pulmonary vasculature are normal. no left-sided pleural effusions. no pneumothorax. the cardiomediastinal silhouette is normal and unchanged.Write the impressions of this report findings [/INST] new moderate right-sided pleural effusion with associated volume loss. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest 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>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there has been interval placement of a right ij approach tunneled hd catheter, the tip of which projects over the expected location of the right atrium. lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia. small-moderate right greater than left pleural effusions are increased. there is no pneumothorax. the cardiac silhouette is top normal for size, and unchanged from prior. mediastinal contours remain normal.Write the impressions of this report findings [/INST] <num>. interval hemodialysis catheter placement, the tip of which projects over the expected location of the right atrium. <num>. new development of bilateral lower lobe atelectasis and/or pneumonia, with moderate right and small left pleural effusions. </s>
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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>> compared with the prior studies, new opacity in the left perihilar region is likely due to developing infection. lungs are hyperinflated. no pleural effusion or pneumothorax. the heart size is normal.Write the impressions of this report findings [/INST] lingular pneumonia. hyperinflated lungs. </s>
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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>> the right chest tube remains in place. compared with the prior study, an oblong locule of air at the right lung apex is slightly larger. the large rind of fluid density along the right lung apex and upper right chest wall remains visible. on the current exam, this appearance suggests a relatively large hydropneumothorax around the right upper lung, with a width of approximately <num> cm, with associated slight depression of the apex of the lung itself. note is again made of parenchymal changes in the right lung apex, with chain sutures, and itb valves. the small right effusion with underlying collapse and/or consolidation is similar to the prior study. possible mild volume loss on the right, given suggestion of slight hyperinflation of left lung. apical changes in left lung are similar. no gross left lung effusion.Write the impressions of this report findings [/INST] probable hydro pneumothorax about the upper right lung and right lung apex, with depression of the aerated portion of the lung. aside from slight increase in the amount of air seen at the right lung apex, there is minimal interval change compared with <unk> at <time>. t the distance between the right upper thorax and apex of the right lung is similar to <unk> at <time>, but more fluid is present in the pleural space on the current study. </s>
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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>> single portable chest radiograph was provided. an endotracheal tube terminates in the trachea approximately <num> cm above the carina. nasogastric tube can only be followed to the lower esophagus and the tip is not clearly visualized. there is no pneumothorax. moderate pulmonary edema is stable. enlargement of the cardiac silhouette is likely due to low lung volumes and rotation of the patient. a monitoring device overlies the patient and obscures evaluation of the lungs.Write the impressions of this report findings [/INST] <num>. endotracheal tube in the mid trachea, approximately <num> cm above the carina. <num>. nasogastric tube can be followed to the lower esophagus; however, the tip is not clearly visualized. <num>. moderate pulmonary edema. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. postsurgical changes are again noted in the suprahilar region on the left. remaining lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs provided. lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal and unchanged from the previous exam. the bones are intact.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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>> the heart size is normal. note is made of mild elevation of the right hemidiaphragm. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. note is made of a left-sided port-a-cath with the tip in the low svc. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] no focal consolidations concerning for pneumonia identified. </s>
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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>> in comparison to the recent cxr performed <num> minutes earlier, there has been interval placement of a dobhoff tube, which is currently located in the mid-esophagus. there is atelectasis at the right lung base. no evidence of pneumonia or pulmonary edema. there is no pneumothorax. the bilateral pigtail catheters and ij catheters are unchanged in position.Write the impressions of this report findings [/INST] dobhoff tube currently located in mid-esophagus, and should be advanced. </s>
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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>> heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are low lung volumes. there is prominence of the pulmonary vasculature, slightly improved from prior exam. there is increased consolidation at the right lung base which is likely atelectasis, less likely pneumonia. an associated increased small right pleural effusion is seen. no left pleural effusion or pneumothorax is seen. enlargement of the cardiomediastinal silhouette is unchanged from prior exam.Write the impressions of this report findings [/INST] <num>. increased opacity at the right lung base with associated increased small right pleural effusion, likely representing atelectasis, less likely pneumonia. <num>. slight interval improvement of pulmonary vasculature congestion. <num>. stable cardiomegaly. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs were obtained. the lungs are well expanded. biapical scarring is unchanged. there is no focal consolidation, effusion or pneumothorax. moderate cardiomegaly is stable. multilevel thoracic spine degenerative changes are unchanged.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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>> right internal jugular central venous catheter tip terminates in the mid right atrium. heart size is normal. hilar contours are partially obscured. diffuse nodular opacities are present throughout bilateral lungs. no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] <num>. diffuse nodular pulmonary parenchymal opacities, suspicious for septic emboli given history. <num>. right internal jugular central venous catheter tip in the mid right atrium. clinical correlation regarding possible retraction requested. </s>
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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>> a large left pleural effusion is present, slightly smaller than on the most recent prior exam. evaluation of the left mediastinal contours is limited in the presence of this finding. there is no right pleural effusion. there is no pneumothorax. there is no focal consolidation concerning for pneumonia. a stent is partly visualized in the right upper abdomen which extends closer to the diaphragmatic hiatus as compared to the prior exam, consistent with recent tips revision. gaseous distention of bowel loops in the right upper quadrant also noted. the visualized osseous structures are within normal limits.Write the impressions of this report findings [/INST] large left pleural effusion, slightly smaller than on the prior study. </s>
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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>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] no evidence of active or latent tb infection. no acute cardiopulmonary process. </s>
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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>> heart size is normal. the aorta is mildly tortuous, unchanged. mediastinal and hilar contours are similar. multiple clips are noted within the right neck compatible with prior right thyroidectomy. lungs are clear. pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is present. no acute osseous abnormality is detected.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
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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>> et tube present, at the level of lower clavicular heads, <num> cm below the carina. ng tube present, extending beneath diaphragm, off film. allowing for differences in positioning, the cardiomediastinal silhouette is probably unchanged. the mean pulmonary artery and hila both . prominent, similar to the prior film. again seen is increased retrocardiac opacity, consistent with left lower lobe collapse and/or consolidation. there is diffuse vascular plethora, thickening of the minor fissure and peribronchial cuffing. hazy opacity at both lung bases could reflect atelectasis and/or small amount of layering pleural fluid. compared with the prior film and allowing for technical differences, the overall appearance is similar.Write the impressions of this report findings [/INST] findings are similar to the film from <num> day earlier. the possibility of new small superimposed effusions cannot be excluded. chf with interstitial and question alveolar edema, similar to the prior film. . left lower lobe collapse and/or consolidation again seen. cardiomegaly, with apparent prominence of the main pulmonary artery and both hila, similar to <num> day earlier. </s>
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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>> 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 cardiopulmonary disease. </s>
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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>> assessment of the lung bases is limited due to poor penetration. the cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing top normal. no focal consolidation, large pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen.Write the impressions of this report findings [/INST] limited study but no acute cardiopulmonary abnormality. </s>
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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>> right internal jugular central venous catheter tip terminates at the svc/right atrial junction. no pneumothorax is identified. cardiac silhouette size is top normal. the aorta remains tortuous. the mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion. patchy opacities are noted in the lung bases, more pronounced in the left lung base, potentially atelectasis though infection or aspiration cannot be excluded. there may be a tiny left pleural effusion. no pneumothorax is present.Write the impressions of this report findings [/INST] <num>. right internal jugular central venous catheter tip at the junction of the svc and right atrium. no pneumothorax. <num>. low lung volumes with mild pulmonary vascular congestion and patchy opacities at the lung bases, potentially atelectasis. infection or aspiration particularly in the left lung base cannot be completely excluded. </s>
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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>> 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, no focal consolidation. </s>
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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>> 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. within the left upper quadrant of the abdomen, in the region of the stomach, there is a radiopaque foreign body resembling the spring and tip of a pen.Write the impressions of this report findings [/INST] radiopaque foreign body resembling the spring and tip of a pen within the left upper quadrant of the abdomen, likely within the stomach. no acute cardiopulmonary process. </s>
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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 relatively low lung volumes. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the right humeral head appears inferiorly subluxed related to the glenoid fossa; correlate clinically. cardiac and mediastinal silhouettes are stable. degenerative changes are seen along the spine.Write the impressions of this report findings [/INST] <num>. right humeral head appears inferiorly subluxed in relation to the glenoid, indeterminate age. clinical correlation advised. <num>. low lung volumes. otherwise, no acute cardiopulmonary process. </s>
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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>> moderate enlargement of the cardiac silhouette is unchanged. the aortic knob with atherosclerotic calcifications are re- demonstrated. again noted is upper zone vascular redistribution oral, without overt pulmonary edema. fullness of the right hilum is similar. scarring is noted within both lung apices along with vascular calcifications in the region of the subclavian vessels. lungs are hyperinflated but clear without focal consolidation. no pleural effusion or pneumothorax is present. mild compression deformity of a low thoracic vertebral body is unchanged.Write the impressions of this report findings [/INST] mild pulmonary vascular congestion, likely chronic, without overt pulmonary edema. no acute cardiopulmonary abnormality otherwise demonstrated. </s>
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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 portable upright view of the chest. right ij dialysis catheter is noted with its tip extending into the svc as well as the right atrium. the heart is mildly enlarged. there is pulmonary vascular congestion and mild pulmonary edema. no large pleural effusion or pneumothorax is seen. difficult to exclude a superimposed pneumonia. bony structures appear intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] mild cardiomegaly, pulmonary vascular congestion with mild pulmonary edema. </s>
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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>> the patient is status post right mastectomy and right axillary node dissection with multiple clips seen projecting over the axilla. the heart size remains mildly enlarged with a left ventricular predominance. atherosclerotic calcifications of the thoracic aorta are noted. the mediastinal and hilar contours are otherwise unchanged. there is continued prominence of the pulmonary vascular markings with some upper zone vascular redistribution suggestive of chronic mild pulmonary vascular congestion. linear scarring is noted within the right lower lobe. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated.Write the impressions of this report findings [/INST] chronic prominence of the pulmonary vascular markings with upper zone re- distribution, suggestive of chronic mild pulmonary vascular congestion. no focal consolidation to suggest pneumonia. </s>
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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>> cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. again seen is a right chest port with tip terminating in the mid svc.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are grossly unremarkable. metallic density projects over the left glenohumeral region for which clinical correlation suggested as this could be external to the patient. no free air seen below the diaphragm.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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. heart size and cardiomediastinal contours are normal. lung volumes are low. no focal consolidation, pleural effusion, or pneumothorax. small radiopaque densities over the right lung base are unchanged.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest are provided. the heart remains top normal in size, with an unfolded aortic contour. the lungs are clear without focal consolidation, effusion, or pneumothorax. bony structures are intact.Write the impressions of this report findings [/INST] no acute findings in the chest. </s>
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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>> one frontal view of the chest, upright. there is mild left basilar atelectasis. there is no pleural effusion or pneumothorax. cardiac, mediastinal and hilar contours are normal. there are aortic knob calcifications. there is no free air. again seen are dilated loops of small bowel in the abdomen.Write the impressions of this report findings [/INST] no free air. mild left basilar atelectasis. </s>
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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>> portable chest radiograph demonstrates unremarkable hilar and cardiac contours. patient has a tortuous aorta. interval widening of the mediastinum compared to <unk>, though this is likely exaggerated by patient positioning and bilateral low lung volumes. lungs are clear. no large pleural effusion or pneumothorax is seen. patient is status post sternotomy.Write the impressions of this report findings [/INST] apparent minimal interval widening of mediastinum likely exaggerated by patient positioning and low lung volumes though cannot exclude aneurysmal dilatation which could be further evaluated for on chest cta. </s>
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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>> the patient is rotated to the left. an et tube and right ij central venous line are in appropriate position, and the gastric tube ends in the body of stomach. the heart size continues to be severely enlarged, and the mediastinum is widened secondary to a known taa. surgical clips are seen around the aortic arch, and the median sternotomy wires are intact. right lung interstitial markings are widened without any focal consolidation.Write the impressions of this report findings [/INST] right interstitial markings suggest edema or layering pleural effusion. gastric tube ends in the body of stomach. </s>
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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>> a right chest wall port-a-cath is present with the tip projecting over the cavoatrial junction. low bilateral lung volumes. there is no focal consolidation, pleural effusion or pneumothorax identified. unchanged expansile rib deformities bilaterally.Write the impressions of this report findings [/INST] low bilateral lung volumes. no significant interval change since the prior examination. </s>
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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 chest radiograph demonstrates moderately well inflated lungs with bilateral lower lobe atelectasis. scarring of the left cardiophrenic angle is noted. no pleural effusion or pneumothorax. stable mild cardiomegaly. the mediastinal contour and hila are unremarkable. sternotomy wires are notable for new disruption of third sternotomy wire.Write the impressions of this report findings [/INST] <num>. new minimal disruption of third sternotomy wire. clinical correlation recommended to assess for superimposed infection. <num>. no additional acute cardiopulmonary process. </s>
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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>> fractures of the right seventh, eighth and ninth ribs are demonstrated laterally. there is a small apical pneumothorax, newly appreciated from the recent chest radiograph but evident on prior ct. a right pleural effusion is minimal and better seen on prior ct. discoid basilar atelectasis bilaterally. surgical clips in the upper abdomen. the cardiomediastinal contours are normal.Write the impressions of this report findings [/INST] <num>. small right apical pneumothorax. <num>. persistent right <unk>, <unk> and <num>th rib fractures. <num>. minimal right pleural effusion. </s>
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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>> the lungs are well expanded. there is no focal consolidation, pleural effusion, or pneumothorax. linear opacities at the left base are likely atelectasis. cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. bones are intact.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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>> a right internal jugular central venous catheter tip terminates in the mid svc. severe enlargement of the cardiac silhouette persists. aorta remains tortuous. there is mild pulmonary vascular congestion which appears relatively unchanged. no pneumothorax or large pleural effusion is demonstrated, however the left costophrenic angle is excluded from the field of view. there is no focal consolidation, with patchy atelectasis noted in the lung bases.Write the impressions of this report findings [/INST] right internal jugular central venous catheter tip terminates in the mid svc. severe cardiomegaly with mild pulmonary vascular congestion. mild bibasilar atelectasis. </s>
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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>> bilateral lower lung volumes due to lack of full inspiration. the lungs are clear otherwise, without focal consolidation or pulmonary edema. no pleural effusion or pneumothorax. the cardiomediastinal silhouette, hila, and pleura are unremarkable. mild scoliosis of the thoracic spine.Write the impressions of this report findings [/INST] no acute cardiopulmonary process including no pneumonia. </s>
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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>> the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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>> the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a small right-sided pneumothorax with a chest tube traversing medially and terminating along the right mediastinal border. the heart size is mildly enlarged. there is mild pulmonary vascular congestion. note is made of subcutaneous emphysema along the right lateral chest wall. increased opacities at the mid right lung, is likely secondary to aspiration. no acute fracture is identified. the left lung aside from mild pulmonary vascular congestion is otherwise clear. there is no large pleural effusion.Write the impressions of this report findings [/INST] <num>. chest tube in appropriate position with small right-sided pneumothorax. <num>. increased opacities at the mid right lung is likely secondary to aspiration. continued close interval follow up is recommended. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiac, mediastinal, and hilar contours are normal. the osseous structures are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
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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>> the lungs are clear bilaterally. right chest wall port is unchanged in position. no pleural effusion or pneumothorax is seen. the left hilum is smaller since the radiograph dated <unk>. the cardiomediastinal silhouette is unremarkable.Write the impressions of this report findings [/INST] no consolidation is seen. </s>
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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. the lungs are clear with without focal consolidation, large effusion or pneumothorax. the cardiomediastinal silhouette appears unchanged. no signs of congestion or edema. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
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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>> heart size is normal. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. there is minimal scarring within the lung apices. no acute osseous abnormalities present.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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>> the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the chest is hyperinflated.Write the impressions of this report findings [/INST] no evidence of acute disease. hyperinflation. </s>
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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>> aside from bilateral infrahilar opacities likely representing atelectasis, there is no pleural effusion or focal consolidation. heart size is within normal limits given the portable technique. lung volumes are low. small pneumothorax and right lateral rib fractures are better appreciated on the concurrent ct of the torso.Write the impressions of this report findings [/INST] traumatic findings of right pneumothorax and right lateral rib fractures are better seen on the concurrent ct of the torso. </s>
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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>> lung volumes are low. an increasing left basilar retrocardiac airspace opacity may be due to aspiration or infection. the right lung remains clear. there is no pneumothorax. the heart appears mildly enlarged despite the projection.Write the impressions of this report findings [/INST] increasing left basilar airspace opacity may be due to aspiration or pneumonia. </s>
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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. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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 single view of the chest has been obtained with patient in sitting semi-upright position. a very high positioned diaphragms is present in this patient with evidence of massive ascites. heart size cannot be determined as contours are concealed. on the right side, the lateral pleural sinus is free, but there is a diffuse haze on the left base consistent with some pleural effusion probably layering posteriorly in the semi-upright positioned patient. both lungs are aerated and there is no evidence of any apical pneumothorax.Write the impressions of this report findings [/INST] evidence of some pleural effusion in the left base. quantitation is impossible on this single view portable chest examination in a patient with high standing diaphragms. no pneumothorax can be identified. multiple left-sided traumatic rib fractures cannot be identified on this portable chest examination. </s>
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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 chest radiographs demonstrate persistent but improved left lower lobe opacification and decreased very small pleural effusion. a newly evident right lower lobe opacification with small pleural effusion is noted, better appreciated on the lateral view. cardiomediastinal and hilar contours are unchanged. osseous abnormalities are unchanged.Write the impressions of this report findings [/INST] persistent but improved left lower lobe opacification and very small effusion. newly appreciated right lower lobe opacification with small adjacent pleural effusion. overall, process is predominantly rightsided, though consideration should be given to multifocal pneumonia. </s>
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