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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. cardiomediastinal and hilar silhouettes are normal size.Write the impressions of this report findings [/INST] no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> low lung volumes. 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 pneumothorax. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. a minimal retrocardiac airspace opacity may be due to atelectasis. mild cardiomegaly has developed. there is no pneumothorax.Write the impressions of this report findings [/INST] no evidence of pneumonia. new mild cardiomegaly. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest demonstrate low lung volumes with top normal heart size. a pulse generator is present in the left chest wall, with pacing leads terminating in the right atrium and right ventricle. there is no pneumothorax, pleural effusion, pulmonary edema, or focal airspace opacity. mild pleural thickening or scarring is noted on the right.Write the impressions of this report findings [/INST] top normal heart size. no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a <num> mm nodule projecting over the right second anterior rib likely corresponds to a calcified granuloma. the lungs are hyperinflated but otherwise clear. there is no pneumothorax or pleural effusion. mild to moderate cardiomegaly is unchanged. the descending thoracic aorta is tortuous. moderate dextroscoliosis of the lower thoracic spine is unchanged.Write the impressions of this report findings [/INST] no acute pulmonary disease. stable mild to moderate cardiomegaly. stable moderate dextroscoliosis. clear mildly hyperinflated lungs. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. low lung volumes. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stably prominent with an unfolded thoracic aorta. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] as above. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are hyperinflated but clear. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart appears mildly enlarged. there is mild unfolding of the thoracic aorta. the pulmonary interstitium is mildly coarse which is nonspecific and may reflect airway inflammation, slight congestion or mild interstitial disease. the lateral view depicts a large oval density projecting over the middle to posterior mediastinum, possibly a large hiatal hernia although there is no air-fluid level to confirm, and probably centered to the right of midline. blunting of the right costophrenic sulcus may suggest a small pleural effusion or potentially chronic scarring. the right acromiohumeral interval is completely effaced with mild-to-moderate degenerative change, suggestive of rotator cuff pathology. the bones appear demineralized.Write the impressions of this report findings [/INST] large density projecting along the lower posterior chest on the lateral view, probably to the right of midline. although a hiatal hernia with associated atelectasis or scarring could be considered, it is not possible to exclude a mass or consolidation. comparison to prior radiographs may be helpful if clinically appropriate. a chest ct is suggested to evaluate further when clinically appropriate. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 diffuse alveolar opacities, right greater than left, with cardiomegaly and kerley b lines consistent with moderate to severe pulmonary edema. there are likely small mild pleural effusions. there is no evidence of pneumothorax. there is no fracture.Write the impressions of this report findings [/INST] moderate to severe cardiogenic pulmonary edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> patient is status post median sternotomy and mitral valve replacement. heart size remains mildly enlarged, but decreased compared to the previous study. the aorta is mildly tortuous and diffusely calcified. pulmonary vasculature is not engorged. hilar contours are normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities detected.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is linear opacity in the right midlung similar to prior likely scarring given persistence since <unk>. the lungs are otherwise clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. slight tortuosity of the descending thoracic aorta is noted. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> moderate cardiomegaly is re- demonstrated. mediastinal and hilar contours are unchanged. there is mild pulmonary vascular congestion without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.Write the impressions of this report findings [/INST] moderate cardiomegaly with mild pulmonary vascular congestion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. depression of the sternum, best seen on the lateral view is longstanding.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> again seen is lingular pneumonia with evidence of volume loss. this is unchanged from <unk>. there may be tiny pleural effusions. there is no pneumothorax or vascular congestion. the heart size is within normal limits.Write the impressions of this report findings [/INST] lingular pneumonia with evidence of volume loss concerning for an obstructive pneumonia. recommend ct-chest. the results of this study were discussed with the medicine team. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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>, the pa catheter still positioned peripherally in the right descending pulmonary artery, and should be withdrawn approximately <num> cm for standard placement. a right picc line terminates in the mid to low svc. there is no change in a small right and a moderate left pleural effusion. there is mild vascular congestion, and possible edema in the left lower lobe versus atelectasis. cardiomegaly is stable. median sternotomy wires are stable in position.Write the impressions of this report findings [/INST] swan-ganz catheter should be withdrawn <num> cm for standard positioning. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 cardiomediastinal and hilar contours are within normal limits. the visualized lung fields are clear. there is no pneumothorax, acute fracture or dislocation. a well marginated calcific density projecting over the distal clavicle and seen only on the pa view likely due to degenerative change. limited assessment of the abdomen is unremarkable.Write the impressions of this report findings [/INST] no acute fracture or dislocation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> severe cardiomegaly is chronic. a right pacemaker generator projects over the right chest wall contiguous with leads which are in unchanged position. lung volumes are low. there is mild bronchial cuffing consistent with mild edema. diffuse osteopenia and mild degenerative change of thoracic spine. there is no pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] mild pulmonary edema is new from <unk>. chronic severe cardiomegaly </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. osseous structures are grossly unremarkable.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> right internal jugular vascular catheter remains in standard position, and cardiomediastinal contours are normal. lungs and pleural surfaces are clear.Write the impressions of this report findings [/INST] no acute cardiopulmonary radiographic abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are hyperexpanded, diffusely radiolucent, with well-delineated vasculature suggestive of copd. no focal opacities are present. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. the mediastinum is not widened. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there has been interval removal of the endotracheal and endogastric tubes. the right ij central venous line tip still sits at the cavoatrial junction. chest drains are unchanged. the heart and mediastinal contours are unchanged given the slightly lower lung volumes. there may be trace left pleural effusion but no large pneumothorax. minimal retrocardiac atelectasis is present.Write the impressions of this report findings [/INST] status post endotracheal and endogastric tube removal without evidence of complication or other change. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. the lungs are clear without focal consolidation or effusion. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. hypertrophic changes seen in the spine, without acute osseous abnormality. median sternotomy wires are noted.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a portable frontal chest radiograph again demonstrates a right chest wall port with the catheter terminating in the low svc. bilateral surgical clips are again noted, reflecting prior breast surgery. lung volumes are slightly lower compared to prior exam, accentuating cardiac size and bronchovascular crowding. allowing for this, the cardiomediastinal silhouette is normal and there is no focal consolidation, appreciable pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. slightly low lung volumes. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there has been interval worsening in bilateral pulmonary vascular engorgement and moderate pulmonary edema compared to the prior exam, right greater than left. there has also been an interval worsening in the moderate to large right sided pleural effusion. the right upper lung mass is better evaluated on cta from <unk>. an air/fluid level is seen in the right lower lobe, corresponding to the right lower lobe cavitary lesion seen on the most recent ct. the hilar and mediastinal contours appear enlarged, likely secondary to lymphadenopathy. again seen are the right-sided pathologic rib fractures, better evaluated on ct from <unk>.Write the impressions of this report findings [/INST] interval worsening of pulmonary edema, right greater than left. interval increase in the right-sided moderate to large pleural effusion. these findings were discussed with dr. <unk> by dr. <unk>, by telephone, on the day of the exam. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the mediastinal and hilar contours are unremarkable, with mild atherosclerotic calcifications noted at the aortic knob. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral radiographs of the chest were acquired. lung volumes are low, causing accentuation of the pulmonary vasculature. there is subsegmental bilateral lower lobe atelectasis. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. an enteric catheter courses below the level of the diaphragm, curving superiorly to end in the gastric fundus.Write the impressions of this report findings [/INST] <num>. enteric catheter ends within the superior aspect of the gastric fundus. <num>. low lung volumes, with minimal bibasilar atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> subtle opacity at the left lung may be due to atelectasis although subtle infection is not excluded in the appropriate clinical setting. there is persistent apparent blunting of the right costophrenic angle on the frontal view, chronic. cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen. vertebral body heights are grossly stable in appearance. no displaced fracture is identified.Write the impressions of this report findings [/INST] subtle left base opacity may be due to combination of atelectasis and epicardial fat, however, subtle consolidation is not excluded in the appropriate clinical setting. no displaced fracture seen. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> compared to the prior study the amount of fluid overload is slightly improved however there still continues to be pulmonary vascular redistribution and volume loss predominantly in the right lower lobe. the heart continues to be severely enlarged. right central lines are unchangedWrite the impressions of this report findings [/INST] slight decrease in fluid overload. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. there is no focal consolidation. tortuous thoracic aorta with an enlarged aortic arch is stable from <unk> as is degree of cardiomegaly. limited portions of the upper abdomen demonstrate air in the stomach as well as small bowel loops in the right lower quadrant. there is no evidence of subdiaphragmatic free air. surgical clips project over the right axilla.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary process. <num>. no subdiaphragmatic free air. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> compared to the prior exam there has been no significant interval change including postoperative changes at the left hilum. the right lung is clear. the cardiomediastinal silhouette is unchanged with a tortuous aorta. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. postsurgical changes at the left hilum. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> mild cardiomegaly has slightly increased compared to the prior exam from <unk>. mild bibasilar atelectasis is likely secondary to low lung volumes. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] <num>. mild bibasilar atelectasis. <num>. mild cardiomegaly, slightly increased compared to the prior exam from <unk>. <num>. no focal consolidations concerning for pneumonia identified. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal view of the chest demonstrates low lung volumes. there is mild elevation of the right hemidiaphragm. heart is mildly enlarged. no pleural effusion is seen. there is no pneumothorax. hilar and mediastinal silhouettes are unremarkable. there is mild pulmonary edema. no vascular congestion. a port-a-cath tip projects over cavoatrial junction.Write the impressions of this report findings [/INST] mild cardiomegaly and mild perihilar vascular congestion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> single ap upright portable view of the chest was obtained. the left costophrenic angle is not fully included on the image. there are relatively low lung volumes, which accentuate the bronchovascular markings, particularly at the bases. given this, no focal consolidation, pleural effusion, or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] <num>. left costophrenic angle is not fully included on the image. otherwise, no acute cardiopulmonary process seen. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lung volumes are low. the heart is borderline in size. the aortic arch is calcified. there is no pleural effusion or pneumothorax. the lungs appear clear.Write the impressions of this report findings [/INST] borderline cardiomegaly. no evidence of acute disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a triple-channel pacemaker device on the left with leads extending in the right atrium, right ventricle and left ventricular region. there is no pneumothorax. the cardiomediastinal and hilar contours are stable. there is persistent pulmonary vascular congestion as well as small bilateral pleural effusions. no new focal consolidations are identified.Write the impressions of this report findings [/INST] <num>. triple channel pacemaker leads terminate in right atrium, right ventricle and left ventricle, expected locations. no pneumothorax. <num>. persistent pulmonary vascular congestion with small bilateral pleural effusions. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> single ap portable view of the chest was obtained. there is elevation of the right hemidiaphragm. there is a relatively focal patchy opacity projecting over the right upper lung. additionally, there is a patchy opacity projecting over the right lung apex. the left lung is grossly clear. the cardiac silhouette is top normal with possible mitral annulus calcification. the aortic knob is calcified. surgical clips in the right upper quadrant are presumed from prior cholecystectomy.Write the impressions of this report findings [/INST] right apical opacity of unclear etiology or chronicity. correlate with any history of tuberculosis. additional small patchy opacity in the more inferior right upper lung could be due to additional site of infection or inflammation. pulmonary contusion not excluded in the setting of trauma. no definite displaced fracture identified, however, ct is more sensitive. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is large but stable. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. moderate degenerative changes are seen in thoracic spine.Write the impressions of this report findings [/INST] stable cardiomegaly but no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. chest tube is seen in the upper medial left hemithorax. there is a large left pneumothorax and moderate-sized left pleural effusion. no shift in mediastinal structures. the right lung is fully expanded and clear. there is no right pleural effusion. there is no right pneumothorax. the cardiac, mediastinal, and hilar contours are normal.Write the impressions of this report findings [/INST] new large left pneumothorax and moderate-sized left pleural effusion. there is no shift in the mediastinal structures. left apical chest tube is in place. these findings were discussed with dr. <unk> at <time> p.m. on <unk> by telephone. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are mildly hyperinflated compatible with emphysema. there are persistent multifocal airspace opacifications involving the left upper and both lower lobes as well as the lingula. compared to the radiograph obtained a day ago, there is no significant change. cardiomediastinal silhouette is normal. small left pleural effusion. no pneumothorax. enteric tube traverses below the diaphragm, tip not visualized. ekg leads overlie the chest wall. there is diffuse demineralization. there has been interval removal of the left sided central venous catheter.Write the impressions of this report findings [/INST] <num>. hyperinflated lungs compatible with emphysema with multifocal consolidations compatible with multifocal pneumonia, small left pleural effusion, overall unchanged compared to <unk>. <num>. enteric tube traverses below the diaphragm, tip not included on this radiograph. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. new increased opacity in the right lung base is suspicious for developing pneumonia and less likely atelectasis. cardiomedistinal and hilar contours are unchanged, specifically prominence of main pulmonary artery is unchanged. there are no pleural effusions.Write the impressions of this report findings [/INST] possible developing right lower lobe pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is an oblong <num> x <num> cm opacity projecting over the right mid lung which could relate to scarring however underlying pulmonary nodule is not excluded. this could be further assessed on non urgent chest ct. the left lung is clear. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.Write the impressions of this report findings [/INST] oblong <num> x <num> cm opacity projecting over the right mid lung without priors for comparison. recommend nonemergent chest ct for further assessment. recommendation(s): oblong <num> x <num> cm opacity projecting over the right mid lung without priors for comparison. recommend nonemergent chest ct for further assessment. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the aorta is tortuous and diffusely calcified. mediastinal and hilar contours are within normal limits. patchy opacity is noted within the right lower lobe concerning for pneumonia. no pleural effusion or pneumothorax is seen. minimal atelectasis is seen in the left lung base. calcific density is noted projecting over the left mid lung field, of unclear etiology.Write the impressions of this report findings [/INST] findings concerning for right lower lobe pneumonia. follow up radiographs after treatment are recommended to ensure resolution of this finding. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> one portable ap view of the chest. there are low lung volumes which crowd the pulmonary vasculature. within that limitation, the lungs are grossly clear without any obvious consolidation. there is no pneumothorax. there is no large pleural effusion. cardiac, mediastinal, and hilar contours are normal. no evidence of pulmonary edema.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. low lung volumes. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the patient is status post median sternotomy and cabg. the cardiac silhouette is mildly enlarged, likely accentuated by ap technique. there is mild prominence of the interstitial markings, slightly increased as compared to the prior study, raising concern for underlying mild interstitial edema in the appropriate clinical setting. the hilar vessels are again slightly prominent. no large pleural effusion is seen. there is no definite focal consolidation. no evidence of pneumothorax.Write the impressions of this report findings [/INST] findings suggest mild interstitial edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal silhouette is stable from prior exam consistent with a least moderate cardiomegaly. lower lobe lobe opacity best seen on the lateral radiograph. there is no pulmonary edema. there may be a trace residual right pleural effusion, smaller from prior exam. there is no left pleural effusion. there is no pneumothorax. right chronic posterior rib deformities representing healed fractures.Write the impressions of this report findings [/INST] left lower lobe opacity may represent pneumonia. stable at least moderate cardiomegaly. trace recurrent right pleural effusion or right pleural scarring. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> normal cardiomediastinal silhouette. no pneumonia. no pulmonary edema. no pleural effusion. no pneumothorax.Write the impressions of this report findings [/INST] no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> since earlier same day chest radiograph, moderate predominantly perihilar opacities are unchanged. lung volumes are low. the tip of an endotracheal tube is seen <num> cm above the carina. a right picc line terminates in the lower svc. heart size is unchanged. no pneumothorax.Write the impressions of this report findings [/INST] no pneumothorax. otherwise, no interval change. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is 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>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 slight interval decrease in size in a moderate left pleural effusion and trace right pleural effusion. the lungs are clear. there is no pneumothorax. the pulmonary vasculature is normal. cardiac silhouette is top normal.Write the impressions of this report findings [/INST] interval decrease in a moderate-sized left pleural effusion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap portable upright view of the chest. left chest wall pacer device is again noted with leads extending into the region of the right atrium and right ventricle. there is pulmonary edema which appears progressed from the chest ct performed earlier today. no large effusion or pneumothorax is seen. multiple pulmonary nodules are better assessed on the ct exam from earlier today. heart size is mildly enlarged. mediastinal contour appears grossly within normal limits. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] <num>. pulmonary edema, cardiomegaly. <num>. multiple pulmonary nodules better assessed on ct concerning for metastasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. there is slightly increased pulmonary vascular prominence compared to prior. no focal consolidation, pleural effusion, or pneumothorax is detected on this study; of note, the left costophrenic angle is incompletely imaged on lateral view. right suprahilar and right upper lobe masses are again seen. aortic tortuosity is again noted. heart size is top normal.Write the impressions of this report findings [/INST] new mild pulmonary vascular congestion. right lung masses as previously noted. these findings were discussed with dr. <unk> by dr. <unk> by telephone at <time> p.m. on <unk>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral chest radiographs demonstrate mild cardiomegaly and aortic tortuosity. abdominal aortic stent is partially visualized. the lungs are clear. right upper lobe pneumonia noted on <unk> has resolved. there is no pulmonary edema.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. there is minimal subsegmental atelectasis within the left mid lung field. remainder of the lungs are clear. no pleural effusion or pneumothorax is visualized. no displaced rib fractures or other acute osseous abnormality is detected.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> picc line has been removed. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the patient is status post left lower lobectomy with clips noted in the left juxtahilar region. leftward shift of mediastinal structures is re- demonstrated. opacity within the left lung base likely reflects a combination of small pleural fluid as well as likely atelectasis though infection cannot be completely excluded. no pulmonary edema is present, in the right lung is clear. no pneumothorax is clearly evident. subcutaneous gas within the left chest wall extending into the neck has decreased in the interval. rounded opacity posteriorly overlying the mid thoracic spine is re- demonstrated, which again may reflect loculated pleural fluid. mild degenerative changes are seen within the thoracic spine.Write the impressions of this report findings [/INST] persistent opacity within the left lung base, likely reflecting a combination of small pleural effusion and atelectasis, though infection is not excluded. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> since <unk>, a focal area of consolidation in the right lower lobe has developed consistent with right lower lobe pneumonia. small right pleural effusion is stable. mild cardiomegaly is stable. feeding tube passes below the diaphragm and out of view. right jugular line ends near the cavoatrial junction. there is no pneumothorax. hilar structures are normal.Write the impressions of this report findings [/INST] since <unk>, new probable right lower lobe pneumonia small right pleural effusion </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable semi-upright radiograph of the chest demonstrates stable bilateral diffuse lung parenchymal opacities. the left apical pneumothorax is unchanged. free air is seen beneath the bilateral hemidiaphragms. known pneumomediastinum is better assessed on ct of the chest dated <unk>. the cardiac silhouette is unchanged. left upper extremity picc ends in the low svc.Write the impressions of this report findings [/INST] <num>. stable left apical pneumothorax. <num>. free air in the abdomen. <num>. stable bilateral parenchymal opacities consistent with multifocal pneumonia. <num>. known pneumomediastinum is better assessed on ct of the chest dated <unk>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.Write the impressions of this report findings [/INST] no acute cardiothoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable ap upright chest film <unk> at <num> <num> is submitted.Write the impressions of this report findings [/INST] interval placement of a feeding tube which projects over the stomach but loops back with the tip positioned at the level of the esophagogastric junction. repositioning would be advised. the right internal jugular central line is unchanged in position with the tip in the distal svc. faint bibasilar opacities persist which could reflect bibasilar atelectasis, although early pneumonia cannot be excluded. no pneumothorax. no evidence of pulmonary edema. overall cardiac and mediastinal contours are stable. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap and lateral views of the chest. left pacemaker with leads are in place in appropriate position. sternotomy wires are seen intact. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well inflated and clear. the cardiomediastinal silhouette is stable. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable.Write the impressions of this report findings [/INST] no focal consolidation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> low bilateral lung volumes with left basal atelectasis and probable trace left pleural effusion. the right lung is clear. mild central vascular congestion. the size of the cardiac silhouette is unchanged.Write the impressions of this report findings [/INST] left basal atelectasis and a trace effusion. mild central pulmonary vascular congestion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. there is status post sternotomy as before. significant increase of heart size is observed, but there is no evidence of increased pulmonary vascular congestion. since the next preceding study of <unk>, a left-sided chest tube advanced from below has been removed. the lungs remain well aerated and no pneumothorax can be identified in the apical area of the left-sided hemithorax. mild degree of blunting of the left lateral pleural sinus is noted.Write the impressions of this report findings [/INST] postoperative increase of heart size to moderate degree, no evidence of pulmonary vascular congestion and no pneumothorax following left-sided chest tube removal. referring physician, <unk>, <unk> #<unk>, was paged at <time> p.m., but not available. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 has been an interval increase in the interstitial markings diffusely bilaterally, which may be due to moderate interstitial edema or atypical infection. the lungs remain hyperinflated with flattening of the diaphragm, consistent with chronic obstructive pulmonary disease. cardiac and mediastinal silhouettes are stable. single-lead right-sided pacemaker is again seen, unchanged in position. patchy left base retrocardiac opacity could relate to the prominent interstitial markings mentioned above, although underlying consolidation from infection and/or aspiration not excluded.Write the impressions of this report findings [/INST] diffusely increased interstitial markings bilaterally, new since the prior study, may be due to pulmonary edema versus atypical infection. additional left base patchy opacity could relate to the above, although underlying consolidation due to infection or aspiration not excluded. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral views of the chest were provided. a left arm access picc line is seen with its tip in the low svc. the lung volumes are low with lower lung atelectasis. no definite signs of pneumonia. no effusion or pneumothorax. heart size and mediastinal contour appear normal. bony structures are intact.Write the impressions of this report findings [/INST] appropriately positioned picc line. lower lung atelectasis noted. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 aorta is tortuous. there the pulmonary vasculature is normal. lungs are hyperexpanded. the diaphragms are flat and low, as before. no pleural effusion or pneumothorax is seen. unchanged right scapular deformity and healed right rib fractures.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest. right chest wall port is again seen in unchanged position. there is persistent left-sided pleural effusion. there is also opacity at the left lung base medially, silhouetting the descending thoracic aorta which could be due to atelectasis and is similar compared to pet-ct from <unk>. elsewhere, lungs are clear of new consolidation. there may be trace right effusion as well. the cardiomediastinal silhouette is unchanged. no acute osseous abnormality identified. thoracolumbar s-shaped scoliosis is again noted.Write the impressions of this report findings [/INST] persistent small left and possible trace right effusion is unchanged. no definite acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. mediastinal contours are within normal limits. heart size has been progressively increasing <unk> and now appears top normal.Write the impressions of this report findings [/INST] no radiographic evidence for acute cardiopulmonary process. top normal heart size, gradually increased over a two year period. this finding was e-mailed to the ed <unk> nurses <unk> dr. <unk> on <unk> at <time> a.m. after attending radiologist review. e-mail response was received from dr. <unk> at approximately <num> a.m. on <unk>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of consolidation, effusion, or edema. cardiomediastinal silhouette is unchanged. osseous and soft tissue structures are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable radiograph of the chest demonstrates well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. chronic changes are noted involving the distal right clavicle.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is re- demonstration of moderate to severe cardiomegaly with mild on folding of a calcified thoracic aortic arch. there is re- demonstration of small bilateral pleural effusions with bibasilar atelectasis. there is mild interstitial pulmonary edema. there is no pleural effusion. the bones appear prominently demineralized. left-sided dual lead pacer is unchanged.Write the impressions of this report findings [/INST] moderate to severe cardiomegaly, small bilateral pleural effusions and mild interstitial pulmonary edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear of focal consolidation or effusion. prominence of the interstitial markings similar to prior. cardiomediastinal silhouette is stable, coronary artery stents again noted as well as atherosclerotic calcifications in the thoracic aorta. surgical clips project over the left chest wall. no acute osseous abnormalities.Write the impressions of this report findings [/INST] mild pulmonary vascular congestion without frank pulmonary edema or focal consolidation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> et tube is seen within <num> cm of the carina, approaching the right mainstem bronchus. enteric tube including side-port or below the diaphragm. low lung volumes are noted with secondary crowding of the bronchovascular markings. the lungs are grossly clear in the cardiomediastinal silhouette is stable.Write the impressions of this report findings [/INST] endotracheal tube within <num> cm of the carina approaching the right mainstem bronchus. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> again seen is a rounded opacity overlying the left hilum, demonstrating an internal reticular pattern, less discrete on the lateral view. there is slight leftward shift of the mediastinum and left volume loss, relating to prior left upper lobectomy. surgical clips are again seen. the right lung is clear. there is no pneumothorax or pleural effusion. the findings are unchanged since the <unk> examination.Write the impressions of this report findings [/INST] rounded reticular opacity at the left perihilar region, unchanged since <unk>, likely reflecting radiation pneumonitis given history of radiotherapy in <unk>. underlying consolidation and residual tumor cannot be excluded. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the mediastinal and hilar contours are remarkable for a tortuous thoracic aorta. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal with no evidence of pleural effusion. there is no pneumothorax or pulmonary edema. no evidence of pneumonia.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> as compared to prior chest radiograph from <unk>, there has been interval worsening of a vague opacity in the right mid lung zone. the left lung is clear. costophrenic sulci are blunted bilaterally, likely related to pleural thickening. there is no pneumothorax. the cardiomediastinal and hilar contours are within normal limits.Write the impressions of this report findings [/INST] increased density of right mid lung opacity, which is concerning for pneumonia. these findings were discussed with dr. <unk> by dr. <unk> via telephone on <unk> at <time> p.m., at time of discovery. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> 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. bony structures are unremarkable. there has been no significant change.Write the impressions of this report findings [/INST] no evidence of acute disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs demonstrate clear lungs bilaterally. heart size is top normal. hilar contours are within normal limits. within the anterior mediastinum there is an abnormal contour previously present on study dated <unk> and unchanged, potentially representative of the pulmonary outflow track or soft tissue within the prevascular mediastinal space. there is no evidence of pulmonary edema. there is no large pleural effusion. no pneumothorax. imaged osseous structures and upper abdomen are unremarkable.Write the impressions of this report findings [/INST] no acute intrathoracic abnormality. unchanged appearance of anterior mediastinal contour which may be representative of the pulmonary outflow tract or alternatively adjacent soft tissue within the prevascular space. if available, radiographs prior to <unk> should be reviewed. if clinically warranted, dedicated imaging with chest ct can be performed for further investigation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> again seen is a small right apical pneumothorax. note is made of acute displaced right posterior third and fourth rib fractures, better characterized by the ct performed on the previous day. no new fractures are identified. heart size is normal. the hilar and mediastinal contours are normal. note is made of mild bibasilar atelectasis, otherwise the lungs are clear. there is a small right pleural effusion.Write the impressions of this report findings [/INST] stable small right apical pneumothorax. stable displaced right <unk> and <unk> rib fractures. no new fracture. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> single portable view of the chest. previously identified left sided effusion has resolved. the lungs are clear consolidation or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.Write the impressions of this report findings [/INST] no definite acute cardiopulmonary process. interval resolution of left pleural effusion since prior. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. there is no focal consolidation, effusion or edema. the cardiomediastinal silhouette is within normal limits. mid thoracic dextroscoliosis is noted.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the right subclavian central line with tip in the distal svc is unchanged. the cardiac and mediastinal and hilar silhouettes are normal. there is no focal infiltrate.Write the impressions of this report findings [/INST] no infiltrate. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. no focal consolidation, large effusion or pneumothorax. the heart is mildly enlarged. the pulmonary hila are stable. mediastinal contour is normal. no acute bony abnormality. chronic deformity of the right distal clavicle and left proximal humerus noted.Write the impressions of this report findings [/INST] no acute findings. no signs of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. there is mild cardiomegaly. the hilar and mediastinal contours are otherwise normal. there is no pneumothorax. there is a small right pleural effusion. pulmonary vascularity is normal.Write the impressions of this report findings [/INST] small right pleural effusion and mild cardiomegaly. no airspace consolidation or pulmonary edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiograph demonstrate clear lungs bilaterally without a focal consolidation. cardiomediastinal and hilar contours are stable and within normal limits. there is no pneumothorax or pleural effusion. no evidence of pulmonary edema. linear opacity in the left lung base likely reflects atelectasis. there is no air under the right hemidiaphragm.Write the impressions of this report findings [/INST] no pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> calcified mediastinal lymph nodes. calcified granulomas in the left upper zones. normal lung volumes. no consolidation. no pleural effusion. no pneumothorax. cardiomediastinal borders and hilar structures are normal.Write the impressions of this report findings [/INST] calcified mediastinal lymph nodes with calcified granulomas in the left lung stable from <unk>. no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> moderate cardiomegaly persists. there are new diffuse bilateral hazy opacities suggestive of moderate increase in pulmonary central venous pressure. mid sternotomy wires appear intact. lungs are without focal consolidation. bilateral small pleural effusions may be present. no acute fracture is identified.Write the impressions of this report findings [/INST] new bilateral hazy opacities with persistent moderate cardiomegaly. these findings are likely representative of moderate pulmonary edema due to congestive heart failure. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap and lateral chest radiograph demonstrates low lung volumes. a right internal jugular central line appears to terminate at the cavoatrial junction. blunting of bilateral costophrenic angles suggests scarring or alternatively small pleural effusions. obscuraion of the left hemidiaphragm likely atelectasis though infection cannot be excluded. patient is status post median sternotomy. heart is top-normal in size. there is no overt pulmonary edema.Write the impressions of this report findings [/INST] low lung volumes with secondary bronchovascular crowding. no overt pulmonary edema. obscuraion of the left hemidiaphragm likely atelectasis though infection cannot be excluded. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are hypoinflated with crowding of vasculature and left basilar atelectasis. small left and likely small right pleural effusions are stable. mild cardiomegaly is stable, and unchanged since prior examination. no pneumothorax. prominence of the left hilum is due to patient rotation. mediastinal contour is unremarkable. intra-aortic balloon pump is <num> cm below the aortic groove, unchanged since prior. a left picc tip is at the mid svc.Write the impressions of this report findings [/INST] <num>. hypoinflated lungs with crowding of vasculature and left basilar atelectasis. <num>. stable small left and likely small right pleural effusions <num>. stable mild cardiomegaly. <num>. support lines unchanged since prior examination. specifically, intra-aortic balloon pump <num> cm below the aortic groove in appropriate position. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> redemonstrated is a vp shunt is seen coursing anteriorly. as compared to <unk>, there has been no significant interval change. there is a stable, tiny residual right apical pneumothorax. the lungs are otherwise clear. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.Write the impressions of this report findings [/INST] tiny, residual right apical pneumothorax. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> right picc line tip remains in the upper svc. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is unchanged. there is no focal consolidation concerning for pneumonia. lungs remain hyperinflated. at the bilateral lung apices there is stable pleural parenchymal scarring. there is a small left pleural effusion, unchanged.Write the impressions of this report findings [/INST] no radiographic evidence of pneumonia. unchanged trace left pleural effusion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright portable view of the chest were obtained. there is minimal bibasilar atelectasis, although small component of underlying aspiration could be present. lingular atelectasis/scarring is seen. subtle <num>-<num> mm nodular opacity projecting over the lateral right lung base over the anterior right fifth rib is stable since the prior study from <unk>. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable and unremarkable.Write the impressions of this report findings [/INST] basilar atelectasis with possible underlying aspiration. otherwise, no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a rounded density projecting over the ivc is unchanged from <unk>. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.Write the impressions of this report findings [/INST] <num>. lung fields are clear. <num>. a rounded density projecting over the ivc is unchanged from <unk>, although increased from <unk>. recommendation(s): a nonemergent chest ct is recommended for further evaluation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a portable view of the chest shows a right ij ending in the upper svc. bilateral lung opacities, most pronounced in the right lower lobe, and cardiomegaly is consistent with pulmonary edema. pleural effusions are small, if any. there is no pneumothorax.Write the impressions of this report findings [/INST] right ij ends in the upper svc. no pneumothorax. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> no evidence free air. lung volumes are low and there is atelectasis at the lung bases bilaterally. there is no pneumothorax. lung fields are clear.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a right port-a-cath with its lead terminating at the cavoatrial junction.Write the impressions of this report findings [/INST] the cardiac silhouette is enlarged. there is a possible right pleural effusion. the lungs are clear of focal consolidation or pneumothorax. there is no pulmonary edema. recommendation(s): cardiomegaly and possible right pleural effusion. </s>