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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 and cardiomediastinal contours are normal. hilar contours are stable. the hemidiaphragms are relatively flattened, which can be seen with copd. no focal consolidation, pleural effusion, pneumomediastinum, or pneumothorax.Write the impressions of this report findings [/INST] no radiographic findings to suggest pneumomediastinum. no significant interval 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>> 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. no evidence of pneumothorax 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>> ap portable semi upright view of the chest. a tiny clip projects over the mediastinum as on prior. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.Write the impressions of this report findings [/INST] no acute intrathoracic process </s>
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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 to suggest pneumonia is noted. tubular opacity extending superiorly from the chronically large right hilar is appears stable dating back to <unk> but present since <unk>. moderate cardiomegaly is again noted. there is no pleural effusion or pneumothorax. no acute fractures are identified.Write the impressions of this report findings [/INST] <num>. no acute pneumonia. <num>. tubular opacity extending superiorly from the chronically large hilus is again noted and may be atelectasis in a region of chronic mucoid impaction, scarring, or an isolanted bronchial abnormality due to asthma or less likely allegeric bronchopulmonary aspergillosis. </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 radiograph of the chest demonstrates clear lungs with no increased interstitial markings concerning for pulmonary edema. the cardiac contour is top normal. the mediastinum is normal. no pleural effusion or pneumothorax is seen. aortic calcifications are noted.Write the impressions of this report findings [/INST] no evidence of pulmonary edema, pleural effusions, pneumothorax, 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>> 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. the bony structures are unremarkable.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>> midline sternotomy wires and mediastinal clips are again noted. there is new consolidation within the left lower lobe which is concerning for pneumonia. a small left pleural effusion is also likely present. calcified granulomas project over the right upper lung. otherwise right lung is clear. cardiomediastinal silhouette is unchanged. bony structures are intact.Write the impressions of this report findings [/INST] interval development of pneumonia in the left lower lobe. 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>> ap upright and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. large left hiatal hernia is similar to prior. the cardiomediastinal silhouette is otherwise 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>> <num> of the <num> left-sided chest tubes is been removed. left basilar pleural parenchymal disease on altered. no pneumothorax. right lung clearWrite the impressions of this report findings [/INST] <num> chest tube is been removed. the left-sided pleural parenchymal disease is unchanged. </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-sided picc tip terminates in the svc. heart size is normal. mediastinal and hilar contours are unremarkable. small right pleural effusion with right basilar opacity likely reflecting atelectasis is re- demonstrated. known left upper lobe rounded lesion measuring approximately <num> cm is unchanged compared to the prior ct from <unk>. remainder of the left lung is clear. no left-sided pleural effusion is present. there is no pneumothorax. catheter is seen projecting over the right upper quadrant of the abdomen. drains are seen within the biliary system.Write the impressions of this report findings [/INST] <num>. right picc tip in the svc. <num>. small right pleural effusion with right basilar opacity, likely atelectasis. <num>. left upper lobe rounded opacity, unchanged. </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>> calcified granuloma in the left upper lung is again noted. streaky retrocardiac opacity is likely atelectasis. the lungs are otherwise clear. mild cardiomegaly is again noted. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no definite 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 are compared to previous exam from <unk>. there is near-complete opacification of the right hemithorax, minimal aerated lung at the right lung base. there is no significant shift of the mediastinum suggesting combination of underlying effusion with atelectasis and possible consolidation or cancer. there is also increased parenchymal opacity in the left lung which is more confluent at the base in the lower lobe, which could represent a superimposed infectious process. underlying malignancy is also possible. cardiomediastinal silhouette is difficult to assess given diffuse bilateral abnormalities. osseous and soft tissue structures are unremarkable.Write the impressions of this report findings [/INST] near-complete opacification of the right hemithorax likely due to a combination of effusion and underlying atelectasis with possible consolidation/tumor. left lung regions of parenchymal opacity potentially due to infectious process with underlying malignancy also possible. </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 view of the chest compared to previous exam from <unk>. low lung volumes again noted. increased interstitial markings throughout the lungs are again seen dating back to <unk>. this could be due to chronic underlying lung disease and in part accentuated by portable technique and low lung volumes. there is no confluent consolidation. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.Write the impressions of this report findings [/INST] no definite acute cardiopulmonary process. increased interstitial markings throughout the lungs, likely chronic. </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>> previously seen right-sided picc is no longer seen. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable and stable.Write the impressions of this report findings [/INST] 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>> portable upright study <unk> at <time> is submitted.Write the impressions of this report findings [/INST] there is near complete opacification of the right hemithorax which may reflect a layering effusion with associated lobar atelectasis or worsening pneumonia. the left lung is relatively well inflated with the exception of the retrocardiac region where there is likely compressive atelectasis or aspiration in the setting of a smaller effusion. no pneumothorax is seen. hardware is again seen overlying the lower cervical and upper thoracic spine. </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 radiograph demonstrates no focal opacity convincing for pneumonia. cardiomediastinal and hilar contours are stable in appearance when compared to prior study dated <unk>. the leads of a right pectoral pacemaker are unchanged in course for at least a year. heavy mitral annulus calcification is chronic. when compared to most recent study dated <unk>, there has been interval removal of a right internal jugular central catheter. there is no pleural effusion. vascular clips denote prior upper abdominal surgery.Write the impressions of this report findings [/INST] no evidence of intrathoracic infection or malignancy. </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 portable radiograph of the chest. there is no consolidation, pleural effusion, or pneumothorax. the cardiac silhouette is unchanged compared to the prior radiograph. no rib fractures are identified. the soft tissues are unremarkable.Write the impressions of this report findings [/INST] no change since the prior radiograph. </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>> since the prior exam, there is increasing opacification of the bilateral bases which is likely atelectasis. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] no definite evidence of pneumonia. new bibasilar opacities are likely atelectasis. recommend a repeat chest radiograph later today or tomorrow to ensure the opacities are not increasing. </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. the lungs remain clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is stable. hypertrophic changes are seen in the spine suggestive of diffuse idiopathic skeletal hyperostosis.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>> no change in the overall position of the left chest a port with its tip terminating in the region of the cavoatrial junction. lower lung volumes are again demonstrated and overall unchanged. slight increased opacification in the lower lung bases appear overall similar to the prior exam and suggest chronic atelectasis associated with prominent epicardial fat pad, better seen on ct. no definite focal consolidation to suggest pneumonia. no pneumothorax, pleural effusion, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. multiple known bilateral pulmonary nodules are better seen on prior ct. stable bilateral rib deformities and associated pleural thickening.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>> comparison is made to prior study from <unk>. heart size is normal. lungs are clear. bony structures are intact.Write the impressions of this report findings [/INST] normal study of 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>> pa and lateral radiographs of the chest. the lungs are mildly underinflated, but there is no focal airspace consolidation. the cardiomediastinal silhouette and hilar contours are normal. pulmonary vascularity is normal and symmetric without pulmonary edema. there is no pleural effusion or pneumothorax 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>> frontal and lateral views of the chest. high position of the ivc filter is similar to prior. heart size and cardiomediastinal contours are stable. aortic knob calcification is unchanged. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.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 hilar and mediastinal contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. there is no evidence of free air. visualized osseous structures are grossly 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 patient is status post median sternotomy. a left chest wall single lead aicd is present as well as a left ventricular assist device. low bilateral lung volumes. there are bilateral hazy opacities in keeping with mild pulmonary edema. left lower lobe atelectasis.Write the impressions of this report findings [/INST] no significant interval change since the prior examination. 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>> a single lead right-sided pacemaker is seen in appropriate position. the heart is enlarged. the hilar contours are within normal limits. the patient is status post sternotomy and cabg. there is mild central pulmonary vascular congestion as well as minimal interstitial pulmonary edema. no focal consolidation or pneumothorax. there are small bilateral pleural effusions.Write the impressions of this report findings [/INST] worsened chronic moderate cardiomegaly, pulmonary vascular congestion and mild pulmonary edema. no evidence of pneumothorax or 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>> following removal of left-sided chest tubes, loculated hydropneumothoraces are present within a partially loculated left pleural effusion, but there is no evidence of apical pneumothorax. cardiomediastinal contours are stable in appearance allowing for technical differences between the exams. multifocal atelectasis has partially improved in the left mid and lower lung regions, and note is also made of improved aeration in the right lower lobe. subcutaneous emphysema is present in the left chest wall.Write the impressions of this report findings [/INST] loculated left hydropneumothoraces within a partially loculated moderate-sized 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>> the et tube terminates appropriately above the carina. there is an enteric tube which appears to terminate within the stomach. the heart size is normal. the hilar and mediastinal contours are normal. there is a consolidation at the left lower lobe. there is no large pleural effusion or pneumothorax. there is a non-displaced left <num>th rib fracture.Write the impressions of this report findings [/INST] et tube terminates appropriately above the carina. there is a non-displaced left <num>th rib fracture. left lower lobe consolidation is concerning for 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 demonstrate no evidence of focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. there are no upper rib fractures. the patient's known right-sided rib fractures are not apparent on this study. no large pleural effusion is seen. partially imaged upper abdomen is unremarkable.Write the impressions of this report findings [/INST] the patient's known right-sided rib fractures are not apparent on these images. no associated 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>> the cardiomediastinal silhouette is unremarkable. an opacity projecting over the lateral right mid lung is new from prior examination. basilar predominant emphysema suggests alpha-<num> antitrypsin deficiency. previously present left mid and lower lung opacities have partially cleared. a small left pleural effusion persists.Write the impressions of this report findings [/INST] a focal opacity in the right midlung is concerning for a new focus of pneumonia. left mid and lower lung opacities have improved since <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>> heart size remains severely enlarged. mediastinal contour is unchanged. there is mild pulmonary vascular engorgement. elevation of the right hemidiaphragm persists, and again raises concern for a subpulmonic effusion. bibasilar opacities likely reflect atelectasis. no pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] severe cardiomegaly with mild pulmonary vascular congestion. continued elevation of the right hemidiaphragm again raises concern for a subpulmonic effusion. 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>> interval removal of enteric catheter and replacement with a dobbhoff catheter whose tip is likely in the fundus of the stomach; however, the radiopaque portion is within the gastroesophageal junction and recommend advancing several centimeters. endotracheal tube terminates <num> cm above the carina. right-sided central venous catheter terminates in the right upper atrium. there is stable extensive perihilar opacification, consistent with pulmonary edema. bibasilar opacifications are likely a combination of atelectasis and bilateral pleural effusions, not significantly changed from prior. cardiomediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] distal dobbhoff tip positioned within the gastroesophageal junction. recommend advancing several centimeters. stable 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>> an endotracheal tube ends in the right mainstem bronchus. an enteric tube courses below the level of the diaphragm. lung volumes are low with mild bibasilar atelectasis. a right ij line ends in the right atrium.Write the impressions of this report findings [/INST] an endotracheal tube ends in the right mainstem bronchus and should be pulled back. </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. no pleural effusions, pneumothorax or focal airspace consolidation. normal cardiac size, hilar and mediastinal contours. pleural surfaces 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>> there is patchy medial left upper lung opacity and mild elevation of the left hemidiaphragm, in combination may represent left upper lobe atelectasis. however, consolidation due to pneumonia may also be present. no pleural effusion or pneumothorax is seen. the cardiac silhouette is stable in size and unremarkable.Write the impressions of this report findings [/INST] concern for left upper lobe atelectasis/partial collapse ; however, left upper to mid lung opacity could also relate to pneumonia. recommend followup to resolution. </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 normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear without focal consolidation, pleural effusion or pneumothorax. minimal degenerative spurring is seen in the 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>> ap upright frontal and lateral views of the chest were performed portably. lung volumes are low. no definite consolidation, effusion, or pneumothorax seen. the heart size appears top normal, though this can be partially magnified due to technique. the mediastinal contour is normal. bony structures are intact.Write the impressions of this report findings [/INST] low lung volumes, no acute 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>> lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is top normal in size.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 enlarged, increased from the prior. the aorta is tortuous, but unchanged. there is calcification of the aortic knob. the pulmonary vasculature is normal. no definite consolidation identified. lung are hyperexpanded. there is no evidence of pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] <num>. cardiomegaly without obvious pulmonary edema. no evidence of 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. heart size is top-normal. the thoracic aorta is tortuous. there is no pneumothorax.Write the impressions of this report findings [/INST] clear 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>> right picc terminates at the svc/right atrial junction. cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are 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>> lung volumes are markedly low on this portable semi upright chest radiograph. left chest wall implanted device is again noted with catheter extending towards the left neck soft tissues. allowing for low lung volumes, there is no convincing evidence for pneumonia or edema. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette appears unchanged. bony structures are intact. the feeding tube projects over the mid abdomen.Write the impressions of this report findings [/INST] no acute findings on this limited chest radiograph. </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 moderate interstitial pulmonary edema characterized by kerley b lines. small bilateral pleural effusions are present. there is moderate pulmonary vascular engorgement, and enlargement of the cardiac silhouette. the mediastinal contours are normal, with calcification noted of the aortic knob.Write the impressions of this report findings [/INST] moderate interstitial pulmonary edema and pulmonary vascular engorgement reflecting cardiac decompensation. </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-sided picc line is visualized with the catheter tip at mid svc. lung volumes remain low. there are multiple densities overlying the left lower lobe. these densities are likely representative of the previously visualized spiculated left pulmonary mass, left pleural thickening involving the major fissure, and post-surgical changes at the left lung base. the previously noted retrocardiac opacity remains stable. no distinct consolidation is noted in the right upper lobe. there is no pneumothorax.Write the impressions of this report findings [/INST] <num>. stable appearance of densities overlying the left lower lobe likely representative of the previously visualized spiculated left pulmonary mass, left pleural thickening involving the major fissure, and post-surgical changes at the left lung base. <num>. faint retrocardiac opacity remains stable and may represent atelectasis versus a developing pneumonia in the proper clinical setting. </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 new consolidation in the left lower lobe obscuring the left hemidiaphragm is consistent with a pneumonia. there is a small left pleural effusion which is better seen on prior ct chest. again seen is right basal atelectasis. there is mild pulmonary vascular congestion. severe cardiomegaly is stable. there is no pneumothorax.Write the impressions of this report findings [/INST] left lower lobe 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>> 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>
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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 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>> as compared to prior chest radiograph from <unk>, the right apical pneumothorax has improved. the distance between the right apical pleura and second rib is <num> cm. mediastinal structures are midline. there is mild pulmonary edema. small bilateral pleural effusions remain unchanged. opacities at lung bases are most readily explained by atelectasis. however, early pneumonia cannot be excluded.Write the impressions of this report findings [/INST] <num>. improving small right apical pneumothorax. <num>. bibasilar opacities most readily explained by atelectasis; however, early pneumonia cannot be excluded, and close monitoring 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>> 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. a skin fold projects over the base of the left lung.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 heart is top normal in size. the hilar and mediastinal contours are within normal limits. there is tortuosity of the aorta. lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no radiographic evidence of an 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 were obtained. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart is severely enlarged but stable. mediastinal and hilar contours are stable. diffuse dense calcifications are again visualized in the aortic valve. moderate-to-severe degenerative changes in the thoracic spine.Write the impressions of this report findings [/INST] <num>. no focal consolidation to suggest pneumonia. <num>. stable severe cardiomegaly with aortic valve calcification, no 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>> a left pectoral dual-chamber icd is present with leads terminating in the right atrium and right ventricle. there is no evidence of lead fracture or disruption. there is no pneumothorax or pleural effusion. there is no focal airspace consolidation, specifically, the upper lungs are clear. the cardiomediastinal contours are normal. the is no hilar lymphadenopthy.Write the impressions of this report findings [/INST] uncomplicated left dual lead icd without findings to suggest pulmonary sarcoidosis. </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 increased interstitial opacification bilaterally, in a relatively symmetric distribution, indicative pulmonary edema and a small effusion along the lateral aspect of the right lung. there may be some superimposed patchy density in the right base. the heart size is enlarged. there is no pneumothorax. moderate dextro convex scoliosis of the thoracic spine is noted.Write the impressions of this report findings [/INST] moderate to severe pulmonary edema and a small right pleural effusion. there may be some superimposed patchy density in the right base. </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>> since the prior study the has been insertion of pigtail catheter in the left pleural space at the mid aspect. as a consequence there has been interval substantial decrease in the amount of pleural effusion in particular at the basal aspect of the pleura. currently the effusion continues to be loculated containing multiple foci of air, most likely trapped within the effusion. the prior study there has been interval elevation of the hemidiaphragm, slight potentially due to decrease in the amount of pleural fluid with subsequent slight right mediastinal shift. left chest wall air is demonstrated along the tract of the catheter. no pneumothorax seen outside of the fluid collection. no appreciable pericardial effusion is seen. minimal amount of right pleural fluid is demonstrated, increased since the prior study. imaged portion of the upper abdomen demonstrate large cortical cyst in the left kidney as well as gallbladder sludge and foci of calcification in the right kidney. airways are patent to the subsegmental level bilaterally except fall left lower lobe and lingula where atelectasis is noted most likely due to combination of effusion and elevated left hemidiaphragm. except for minimal a right lower lung atelectasis right lung is clear. off note is soft tissue lesion, <num> x <num> cm, pleural or extrapleural based, series <num>, image <num>, unchanged in appearance since previous ct obtained <num> days ago. no lytic or sclerotic lesions worrisome for infection or neoplasm demonstrated. erosive changes at the manubrial sternal joint suggesting prior inflammation as previously. septal thickening in the left upper lobe is minimal. besides left lower lobe atelectasis no new findings demonstrated.Write the impressions of this report findings [/INST] interval decrease in size in loculated left pleural effusion after placement of the pigtail catheter. multiple loculated bubbles of air. subcutaneous air. left lower lobe consolidation, most likely a combination of atelectasis or infection with no possibility to exclude underlying mass. unchanged appearance of the right chest wall/pleural lesion. potentially as previously suggested <num> might be related to previous fracture of the left seventh rib but followup is required to exclude the possibility of neoplastic origin. no changes in the intra-abdominal findings demonstrated but there is higher elevation of left hemidiaphragm potentially due to drainage of pleural effusion with more pronounced right mediastinal shift. </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 the heart is moderately enlarged but stable from the prior exam in <unk>. there is moderate pulmonary vascular congestion and as well as moderate pulmonary edema with small bilateral pleural effusions. there is no evidence of pneumothorax .Write the impressions of this report findings [/INST] cardiomegaly, moderate pulmonary edema and small bilateral 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>> portable supine view of the chest demonstrates extensive amount of subcutaneous gas. pneumomediastinum persists. previously noted left pneumothorax is not apparent on this exam. moderate right pleural effusion persists. right-sided chest tube is unchanged in position. right pic catheter tip projects over mid svc. et tube is in place, its tip terminating <num> cm from the carina. right lung base consolidation persists. diffuse bilateral airspace opacities are largely unchanged since study obtained one hour prior.Write the impressions of this report findings [/INST] <num>. stable appearance of extensive subcutaneous gas, which slightly limits evaluation for a pneumothorax. previously noted left pneumothorax is not evident on this exam. <num>. diffuse airspace opacities, right greater than the left, may represent asymmetric edema, aspiration or infection. </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 endotracheal tube ends approximately <num> cm from the carina. a swan-ganz catheter overlies the expected area of the main pulmonary artery. the lung volumes have improved and there has been a decrease in the pulmonary edema. hazy opacification at the left base is likely atelectasis, although developing pneumonia cannot be excluded. there is no pleural effusion or pneumothorax. moderate enlargement of the cardiomediastinal silhouette is unchanged. a gastric tube and a coiled dobbhoff both end in the region of the pylorus.Write the impressions of this report findings [/INST] <num>. decrease in pulmonary edema. <num>. mild left basilar atelectasis, or less likely a developing 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 consolidation. no pleural effusion, edema or pneumothorax is seen. mild cardiomegaly is not significantly changed.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>> patient is after sternotomy for multiple cardiac surgeries, metal wires are intact. the left side pleural effusion is markedly reduced, but is still evident. minimal air-fluid level and unchanged left pigtail catheter position. moderate left lung base pneumothorax. right lung is clear without pleural effusion. heart size and mediastinal contours are normal.Write the impressions of this report findings [/INST] reduction of the left pleural effusion, but with moderate left base pneumothorax. findings were discussed by dr <unk> with dr <unk> at <num>.<unk> pm </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 small amount of likely pneumomediastinum and possible pneumothorax seen on the prior ct examination is not evident on this study. on the current examination, no evidence of pneumothorax or pneumomediastinum is identified. no focal opacity to suggest pneumonia is seen. no pleural effusion or pulmonary edema is present. the cardiomediastinal contours are normal.Write the impressions of this report findings [/INST] no radiographically evident pneumomediastinum or pneumothorax on the current 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>> the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute intrathoracic 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>> no focal consolidation, pleural effusion, or pneumothorax is seen. mild interstitial abnormality is likely chronic. heart and mediastinal contours are within normal limits.Write the impressions of this report findings [/INST] mild interstitial abnormality, which is likely chronic, without radiographic evidence for 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 well expanded and clear. there is minimal left lower lobe atelectasis no pleural effusion or pneumothorax. the cardiomediastinal silhouette is 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>> mild bibasilar atelectasis is seen. there is no definite focal consolidation. no large pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there has been interval removal of previously seen right-sided picc. partially imaged hardware in the left humerus is not well assessed on this study.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 radiographs of the chest were acquired. the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.Write the impressions of this report findings [/INST] no acute cardiac or pulmonary 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>> left ij central line, ng tube and right subclavian central lines are in standard position and unchanged compared to prior cxr. lung fields are less inflated, with bibasilar pelural fluid and increased atelectasis there is mild vascular congestion hart size and aorta profile are unchangedWrite the impressions of this report findings [/INST] lung bases are less inflated with bibasilar pleural fluid and atelectasis there is mild fuid overload </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. heart size and mediastinal contours are stable. no pleural effusion or pneumothorax. no definite evidence of acute rib fracture.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary process. <num>. if persistent concern for rib fracture, dedicated rib series or ct is more sensitive. </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 hazy bibasilar opacities which could be in part due to technique and overlying soft tissues although there is more dense opacity in the retrocardiac region. superiorly, the lungs are clear of consolidation. cardiomediastinal silhouette is within normal limits given positioning and technique. no acute osseous abnormalities identified.Write the impressions of this report findings [/INST] possible retrocardiac opacity for which dedicated pa and lateral may help further characterize if patient is amenable. </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>> residual small right pleural effusion status-post thoracentesis. associated focal right lower and right middle lobe opacity that is most consistent with residual atelectasis and re-expansion pulmonary edema post-thoracentesis, less likely aspiration or developing infection. stable small left pleural effusion with adjacent left retrocardiac opacity with air bronchograms. the left lung is otherwise clear. no pneumothorax. stable cardiomediastinal silhouette.Write the impressions of this report findings [/INST] <num>. marked decrease in size of right pleural effusion with residual small right pleural effusion after recent thoracentesis. <num>. right middle and right lower lobe airspace opacities may reflect re-expansion edema following recent large volume thoracentesis, but short-term followup radiographs would be helpful to exclude other potential etiologies such as infectious pneumonia. at that time, additional airspace opacity at the left base may also be reassessed. <num>. stable 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>> the lungs are hyperexpanded consistent with copd. 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] <num>. no evidence of mass or rib fracture. <num>. hyperexpansion consistent with 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>> left-sided port-a-cath tip terminates at the junction of the svc and right atrium. cardiac, mediastinal and hilar contours are normal. minimal patchy opacity in the right lower lobe likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. elevation the right hemidiaphragm is chronic. a percutaneous transhepatic biliary drain is seen in the upper abdomen.Write the impressions of this report findings [/INST] minimal patchy right lower lobe atelectasis. no focal consolidation concerning for 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>> there is flattening of the diaphragms and increased ap diameter, with a mild bell-shaped configuration of the chest, compatible with air trapping. there is no evidence of active infectious process. the mediastinal silhouette is normal. there is kyphosis with multilevel degenerative disc disease.Write the impressions of this report findings [/INST] <num>. no evidence of active infectious process. <num>. flattened diaphragms and increased ap diameter, compatible with air trapping. </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 with no evidence of consolidation, effusion, or pneumothorax. bilateral densities projecting over the breasts are likely nipple shadows. there is however a calcific density projecting over the left hilum which is of nonspecific etiology. the cardiomediastinal silhouette is otherwise normal. the aorta appears tortuous. degenerative changes are visualized throughout the thoracic spine.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. there is however a calcific density projecting over the left hilum which is of non-specific etiology. further evaluation is recommended with shallow oblique radiographs. alternatively, submission of prior radiographs for long-term assessment may be performed. </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. lungs are hyperinflated though appear clear. 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>> frontal and lateral views of the chest. new right lung base patchy opacity silhouettes the right heart border and right hemidiaphragm, compatible with right middle and right lower lobe locations. new left retrocardiac opacity is also noted. bilateral pleural effusions are small. no pneumothorax. the heart is of normal size with normal cardiomediastinal contours. no radiopaque foreign body.Write the impressions of this report findings [/INST] new bilateral lower lobe and right middle lobe opacities may reflect atelectasis but coexisting pneumonia should be considered in the appropriate clinical setting. please correlate with clinical symptoms. small bilateral pleural effusions. findings were communicated via phone call by <unk> with <unk> on <unk> at <time> p.m. </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 radiograph demonstrate clear lungs bilaterally. lung volumes are slightly low exaggerating size of the heart which is otherwise normal in size. hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or pulmonary edema. there is no air under the right hemidiaphragm. air-filled loop of bowel is noted in the left upper quadrant.Write the impressions of this report findings [/INST] no acute intrathoracic abnormality. although no acute fracture or other chest wall lesion is seen, conventional chest radiographs are not sufficient for detection or characterization of most such abnormalities. if the demonstration of trauma to the chest wall is clinically warranted, the location of any referrable focal findings should be clearly marked and imaged with either bone detail radiographs or chest ct scanning. </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 new right pectoral port-a-cath tip terminates in the right atrium. scattered nodular densities seen throughout both lungs are more apparent compared with the prior chest radiograph of <unk>, characterized by ct of <unk> as metastatic disease. hyperinflation suggests underlying copd. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] <num>. no evidence of acute cardiopulmonary process. <num>. pulmonary metastases are more apparent compared with <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>> the known right upper lobe nodule with surrounding postprocedural changes is re demonstrated. a new opacity that projects over the right heart border on the frontal radiograph, and spine on the lateral radiograph is likely due to right lower lobe subsegmental atelectasis. new minimal left basilar subsegmental atelectasis is present. the moderate right pneumothorax is slightly decreased. the heart and mediastinum are within normal limits.Write the impressions of this report findings [/INST] slightly decreased moderate right pneumothorax. new right lower lobe subsegmental atelectasis and minimal left basilar subsegmental atelectasis. stable appearance of right upper lobe nodule with surrounding post-procedural changes. </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 demonstrate no focal consolidation, effusion, or pneumothorax. punctate hyperdensities in the right lower lung likely represent en face vessels or calcified granulomas. the cardiomediastinal silhouette is normal. imaged osseous 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 top-normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear except for linear bibasilar atelectasis or scar. no pleural effusion or pneumothorax is seen. posterior lumbar fusion hardware is seen. dual-chamber pacer projects over the heart.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>> compared with the immediate prior study moderate bibasilar layering pleural effusions have substantially increased. a superimposed infectious process at the left lung base is possible in the proper clinical setting. there is mild edema. no pneumothorax. a tunneled right ij central venous catheter tip terminates in the right atrium. a left pectoral single-chamber pacemaker lead projects in unchanged location.Write the impressions of this report findings [/INST] <num>. substantial interval increase in moderate bibasilar layering pleural effusions and mild edema. <num>. superimposed infectious process in the left lung base is possible in the proper clinical setting. </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 coronary artery bypass graft surgery. the heart is mild to moderately enlarged. there is prominent and indistinct central interstitium with prominent pulmonary vascularity suggesting mild-to-moderate vascular congestion. in addition, there is a moderate right-sided pleural effusion which has increased with associated opacity, which can probably be attributed to atelectasis, but underlying pneumonia is also a possibility. a trace left-sided pleural effusion is suspected. there is no pneumothorax. moderate anterior osteophyte formation is noted along the mid-to-lower thoracic spine.Write the impressions of this report findings [/INST] <num>. similar mild-to-moderate pulmonary vascular congestion and cardiomegaly. <num>. increasing small-to-moderate right-sided pleural effusion with associated parenchymal opacification and volume loss, possibly atelectasis, although an infectious cause is a possible consideration. <num>. persistent nodular focus projecting over the right mid lung, likely nipple shadow. however, when clinically appropriate, evaluation with an additional pa view with nipple markers is suggested to evaluate further. recommendation for follow-up pa view with nipple markers discussed with dr. <unk> by telephone on <unk> at <num> pm. </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 cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
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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 endotracheal tube is <num> cm above the carina. enteric tube extends to at least the stomach, but the tip is beyond the inferior margin of the image. there is mild pulmonary edema, which has worsened since <unk>, but unchanged since the most recent cxr of <unk> at <time>am. additionally, there are bibasilar opacities which have newly developed since <unk>, and probably represent pneumonia. superimposed small bilateral pleural effusions are likely. no evidence of pneumothorax. cardiomediastinal silhouette is unremarkable.Write the impressions of this report findings [/INST] <num>. endotracheal tube has been advanced, now terminating <num> cm above the carina. this should be pulled back by <num>cm. <num>. mild pulmonary edema, unchanged. <num>. bibasilar opacities, likely due to pneumonia and small 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>> the cardiac silhouette size remains top normal. mediastinal and hilar contours are unchanged. there is no pulmonary vascular congestion. there has been interval improvement in aeration of the right lung base, with residual linear opacities likely reflective of atelectasis. within the left lung base, there are persistent patchy and streaky airspace opacities, slightly worse in the interval. this could reflect atelectasis though infection or aspiration is not excluded. lungs remain hyperinflated. no significant pleural effusion is demonstrated, and there is no pneumothorax. no acute osseous abnormalities are detected. mild loss of height anteriorly of a lower thoracic vertebral body is unchanged.Write the impressions of this report findings [/INST] left basilar patchy and streaky opacity appears slightly worse in the interval, possibly atelectasis though infection or aspiration is not excluded. interval improvement in aeration of the right lung base with residual 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>> <num> serial radiographs of the chest demonstrate placement of a dobbhoff tube with the <unk> image showing the dobbhoff tube in the mid-esophagus and the <unk> image demonstrating the dobbhoff tube positioned in the stomach. as compared to the previous radiograph, there is no relevant change. signs of mild to moderate pulmonary edema persist. there is mild blunting of the left costophrenic angle. no focal consolidation is identified. borderline enlargement of the cardiac silhouette is again seen.Write the impressions of this report findings [/INST] <num> serial radiographs demonstrating positioning of a dobbhoff tube which projects past the diaphragm, in the area of the 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>> the lungs are clear without pleural effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal. the pulmonary vasculature is normal. there is mid thoracic vertebral body wedgeing, likely age indeterminate.Write the impressions of this report findings [/INST] no acute chest 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 bilateral upper lungs are clear, with bibasilar atelectasis and bilateral effusions. no focal consolidation. the cardiomediastinal silhouette is normal. no pneumothorax. contrast is identified in the region of the gallbladder, likely from the recent ptbd.Write the impressions of this report findings [/INST] bibasilar atelectasis and bilateral effusions. 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>> no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. there is no overt pulmonary edema.Write the impressions of this report findings [/INST] no focal consolidation. it concern for underlying pulmonary nodule, chest ct is more sensitive. </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 and lateral views of the chest provided. the lungs appear clear and hyperinflated. no signs of pneumonia, effusion or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact.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>> lung volumes are low. heart size remains mildly enlarged. aortic corevalve device is again noted. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged, but there is crowding of the bronchovascular structures. patchy bibasilar opacities likely reflect areas of atelectasis. known pulmonary nodules seen on prior ct are not well assessed on the current radiograph.Write the impressions of this report findings [/INST] low lung volumes with 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>> both of the lower lung volumes seen on the current exam. retrocardiac opacity may be secondary to atelectasis. elsewhere the lungs are grossly clear. the cardiomediastinal silhouette is within normal limits given low inspiratory effort. degenerative changes noted at the acromioclavicular joints.Write the impressions of this report findings [/INST] low lung volumes with left basilar opacity may be due to atelectasis noting that infection is not entirely 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>> lung volumes are slightly low but clear. heart size is top normal. the mediastinal and hilar contours are stable. there is no pleural 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>> the lungs are normally expanded and clear. there is no focal airspace opacity. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no evidence of 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>> a single portable ap upright view of the chest was obtained. cardiomediastinal silhouette is stable. there is increased hazy opacification along the right cardiophrenic region. there is no pleural effusion or pneumothorax. upper zone redistribution, with mild vascular plethora. old fractures noted in the left <unk> and <unk> posteiror ribs.Write the impressions of this report findings [/INST] increased hazy opacification along the right heart border may represent developing consolidation and should be clinically correlated. </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 biapical scarring. the lungs are otherwise clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. surgical clips are noted in the upper abdomen. 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>> compared with prior radiographs on <unk>, there is increased opacity at the left lung base, likely representing atelectasis or aspiration. right-sided basilar atelectasis and effusion are unchanged. cardiomediastinal silhouette is unchanged. there is no pneumothorax. left port-a-cath and right-sided picc line are unchanged in appearance.Write the impressions of this report findings [/INST] increased left basilar atelectasis or aspiration. </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 demonstrate low lung volumes. left lung base opacity, best seen on the lateral view, is noted. hilar and mediastinal silhouettes are unchanged. multiple surgical clips project over cardiac silhouette. sternotomy wires are in place. partially imaged upper abdomen is unremarkable. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.Write the impressions of this report findings [/INST] left lung base opacity, may represent atelectasis or infection in the appropriate clinical setting. </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 left port-a-cath terminates in the low svc. there is no pneumothorax. the lungs are clear with no focal consolidation or pleural effusion. cardiac size is normal.Write the impressions of this report findings [/INST] left port-a-cath terminates in the low svc. no 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>> previous small right apical pneumothorax is no longer visualized. the right pleural effusion has increased with compressive basilar atelectasis causing silhouetting of the right heart border. fluid tracking within the minor fissure is re- demonstrated. cardiomediastinal silhouette is stable. the left lung is clear.Write the impressions of this report findings [/INST] <num>. right-sided pleural effusion has increased, with adjacent compressive atelectasis. <num>. the previous small right apical pneumothorax is no longer visualized. </s>
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