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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 radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or focal consolidation.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>> tip of the right ij is not significantly changed in position, and likely terminates in the upper right atrium. prostatic heart valve is unchanged. streaky right perihilar opacities most likely represent subsegmental atelectasis, also noted at the lung bases. there is no focal consolidation to suggest pneumonia. mild pulmonary vascular congestion. no overt pulmonary edema. bilateral pleural effusions is larger on the left, which are not definitely appreciated on the prior supine portable radiograph. no pneumothorax. mild cardiomegaly is stable.Write the impressions of this report findings [/INST] <num>. left greater than right pleural effusions, not appreciated on the prior supine radiograph. <num>. 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>> pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac silhouette size is normal. aorta remains tortuous. moderate hiatal hernia is noted. pulmonary vasculature is not engorged. lungs are hyperinflated without focal consolidation. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. mild loss of height of a low thoracic vertebral body remains unchanged. multiple clips are demonstrated overlying the midline lower neck.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest demonstrate no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal in size. the pulmonary vascular markings are within normal limits.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. widening of the right ac interval likely chronic. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> an endotracheal tube is seen with tip <num> cm above the carinal and could safely be advanced <num> cm. an enteric tube terminates within the stomach. bilateral parenchymal opacities continue to worsen, particularly on the right lower lobe. heart is remains mildly enlarged and there is some prominence of the central vasculature. no pleural effusion or pneumothorax. the previously seen curvilinear lucency beneath the diaphragm is less conspicuous on this study.Write the impressions of this report findings [/INST] <num>. et tube could be safely advanced <num> cm. <num>. worsening moderate pulmonary edema from <unk> min prior, possibly reflecting developing ards. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. hardware partially visualized in the lower c-spine. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. 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>> single view of the chest was obtained. a right-sided central venous catheter is seen, terminating in the distal svc/cavoatrial junction. no focal consolidation, pleural effusion or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. nodular opacities at the right lung apex are stable since at least <unk>. no overt pulmonary edema is seen. no displaced fracture is identified. there is stable right base linear atelectasis/scarring.Write the impressions of this report findings [/INST] no displaced rib fracture is seen. if clinical concern for rib fracture persists, suggest dedicated rib series. no pneumothorax. no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal upright portable chest radiograph demonstrates unchanged appearance of a right dual-lumen dialysis catheter, the tip of which projects over the right atrium. there is no pneumothorax. lung volumes remain low, with bibasilar atelectasis. the cardiac silhouette and mediastinal contours remain widened. pulmonary vasculature is normal, there is no pulmonary edema. bilateral pleural effusions are small, if any.Write the impressions of this report findings [/INST] <num>. no pneumothorax. <num>. low lung volumes 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>> the lungs are clear withou any focal consolidation, pleural effusion, pulmonary edema or pneumothorax. the heart and mediastinal contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. no pleural effusion or pneumothorax. normal heart size. tortuous aorta is stable. moderate hiatal hernia is unchanged.Write the impressions of this report findings [/INST] <num>. no acute pulmonary abnormality. <num>. unchanged moderate hiatal hernia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a single portable supine view of the chest was obtained. trauma board partially obscures the view. heart is normal size and cardiomediastinal contour is unremarkable. lungs are clear. there is no large effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute intrathoracic abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest are provided. lung volumes are low. bronchovascular crowding likely accounts for the lower lung opacity. no definite sign of pneumonia or overt chf. heart and mediastinal contours are stable. no pneumothorax. bony structures are intact.Write the impressions of this report findings [/INST] limited, negative. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. minimal atelectasis is noted at the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.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>> lung volumes are low. the heart remains mildly enlarged. aortic knob is calcified. mediastinal and hilar contours are unchanged, with a small hiatal hernia again noted. pulmonary vascularity is within normal limits. no focal consolidation, pleural effusion or pneumothorax is present. multiple clips are seen in the right upper quadrant compatible with prior cholecystectomy. degenerative changes of the left glenohumeral joint are incompletely assessed.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size, mediastinal and hilar contours are normal. lungs and pleural surfaces are clear. mild curvature of the spine is noted.Write the impressions of this report findings [/INST] no radiographic evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size, mediastinal and hilar contours are normal. lungs and pleural surfaces are clear. exam was not specifically tailored to evaluate for rib abnormalities, but no acute, displaced rib fractures evident within this limitation.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary radiographic abnormality. <num>. no acute, displaced rib fracture. if there remains strong clinical suspicion for acute rib abnormality, coned-down dedicated rib views at the site of pain may be helpful if warranted clinically. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> left-sided dual-chamber pacemaker device leads terminating in the right atrium and right ventricle, unchanged. heart size remains mildly enlarged. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. patchy opacities in lung bases may reflect atelectasis, slightly worse in the interval. no new focal consolidation, pleural effusion or pneumothorax is seen. moderate multilevel degenerative changes are noted in the thoracic spine. fractures of the left sixth and seventh posterior ribs are subacute, seen on the previous examination. no definite new osseous abnormalities detected. extensive degenerative changes are present involving both glenohumeral joints.Write the impressions of this report findings [/INST] worsening opacities the lung bases likely reflective of increased atelectasis. subacute left sixth and seventh posterior rib fractures, as seen previously. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. previously noted left lower lobe pneumonia has essentially resolved. remainder of the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] resolution of previously noted left lower lobe pneumonia. no new acute cardiopulmonary abnormality otherwise demonstrated. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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, without focal opacities. small focus of loss of the right heart margin, right below the cardiomediastinal angle is likely due to a hilar vessel abutting the right cardiac margin and is unchanged compared with multiple prior radiographs as far back as <unk>. cardiomediastinal and hilar contours are unremarkable. the aorta is tortuous. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a right infrahilar opacity is unchanged from the immediate prior study and may represent subsegmental atelectasis related to low lung volumes. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary process. <num>. unchanged right infrahilar opacity compared with <unk>, however this finding is new from <unk> and older studies and a nonemergent chest ct is recommended for further characterization to exclude a pulmonary nodule. recommendation(s): nonemergent chest ct is recommended for further characterization of a right infrahilar opacity. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 ap chest radiograph was provided. the endotracheal tube is at the thoracic inlet, approximately <num> cm above the carina. nasogastric tube courses below the diaphragm into the stomach. lung volumes are low. there is no focal consolidation, pleural effusion, or pneumothorax. linear opacities at the bases are likely atelectasis. the cardiomediastinal silhouette is normal. the bones are intact.Write the impressions of this report findings [/INST] endotracheal tube is high above the thoracic inlet. recommend advancement for better 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>> the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded. ill-defined increased opacity at the right lung base is noted, better appreciated on the frontal view, which may indicate bronchitis. mild bronchial cuffing is also seen. no acute abnormality of the upper abdomen is seen.Write the impressions of this report findings [/INST] vague increased density at the right lung base with bronchial cuffing, which may indicate bronchitis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 increased opacity in the right infrahilar region is likely atelectasis, seen only on the frontal view. no definite new focal consolidation to indicate focal pneumonia. no pleural effusion, edema, or pneumothorax. the cardiac silhouette remains enlarged, similar the prior exam. multilevel degenerative changes in the thoracic spine are again overall unchanged.Write the impressions of this report findings [/INST] <num>. no focal pneumonia. <num>. 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>> a single portable semi-erect chest radiograph was obtained. aeration of the lungs has improved since <unk>. in particular the apices are better aerated. persistent alveolar opacity remains in a bibasilar predominance. small right effusion, if any, is unchanged. there is no new abnormality of the heart or mediastinum. there is no pneumothorax or consolidation. an endotracheal tube remains in the upper airway. an enteric catheter extends inferiorly out of field of view. right-sided picc line tip terminates in the low svc. pacemaker leads are in unchanged positions. median sternotomy wires are intact.Write the impressions of this report findings [/INST] improved aeration of the apices since <unk>. extensive bilateral dense consolidations remain at the bases. given rapid improvement, trali or ards are more likely etiologies than pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. s shaped thoracolumbar scoliosis is noted with posterior fixation hardware. of note, there is a fracture through the left-sided transfixing rod at the uppermost screw, unchanged. fractured screw also noted in a right-sided pedicle. surgical clips in the right upper quadrant suggest prior cholecystectomy.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lung volumes are slightly low, resulting in bronchovascular crowding. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.Write the impressions of this report findings [/INST] no pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a right-sided picc with the tip in the low svc. a left upper quadrant drain appears to be in unchanged position. the lung volumes are low, somewhat limiting evaluation. there is unchanged right basilar atelectasis. the lungs are otherwise clear without a consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] <num>. right picc with the tip in the low svc. <num>. unchanged right basilar atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> <num> views were obtained of the chest. the lungs are well expanded with nodular opacities in the mid-to-lower lungs, right greater than left, decreased in conspicuity from the <unk> examination. no new consolidation, pleural effusion or pneumothorax is identified. the heart and mediastinal contours are unchanged.Write the impressions of this report findings [/INST] no acute process with slightly decreased appearance of the middle lobe and lingular nodules in keeping with known chronic mac infection. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> additional history that was not provided is the patient was re-operated on the evening of <unk> for postoperative persistent graft-related bleeding. endotracheal tube position is somewhat obscured by the linear dense likely packing material endotracheal tube appears to be <num> cm above the carina. nasogastric tube courses into the stomach likely terminating in the proximal stomach. swan-ganz catheter is in the pulmonary outflow tract. the patient's sternal wound is open with removal of sternotomy wires. bilateral chest tubes are new with unchanged mediastinal drains. swan-ganz catheter terminates just proximal to the pulmonic valve. postoperative mediastinal widening is slightly increased from the prior compatible with repeat procedure. a trace right and small left pleural effusions are likely present along with dense left basal atelectasis.Write the impressions of this report findings [/INST] <num>. swan-ganz catheter with tip likely just proximal to pulmonic valve. <num>. dense left basal consolidation with small left pleural effusion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> upright ap and lateral views of the chest demonstrate low lung volumes, accentuating the heart size, which is moderately enlarged. the mediastinal contours are otherwise stable. a large left goiter deviates the trachea, and is unchanged. there is no overt pulmonary edema, pneumothorax, or large pleural effusion. atelectasis is present at the lung bases, although underlying infection is possible in the appropriate clinical setting.Write the impressions of this report findings [/INST] moderate cardiomegaly with low lung volumes and bibasilar atelectasis; however underlying infection is possible in the appropriate clinical setting. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart is not enlarged. the aorta is minimally unfolded. the cardiomediastinal silhouette is otherwise within normal limits. no chf, focal infiltrate, gross effusion, or pneumothorax is detected. minimal degenerative change in the thoracic spine could be present. on the available images, there is suggestion of mild right convex curvature in the thoracic spine, but this could be positional. otherwise, limited assessment of osseous structures is grossly unremarkable. no vertebral body compression or obvious rib fracture is identified. incidental note is made of nonvisualization of the left clavicular companion shadow.Write the impressions of this report findings [/INST] <num>. no acute pulmonary process identified. <num>. possible mild right convex curvature and minimal degenerative changes in the thoracic spine. limited assessment of osseous structures is otherwise grossly unremarkable. <num>. no free air seen seen beneath the diaphragm. no dilated loops of bowel seen in the visualized portion of the upper abdomen. <num>. nonvisualization of the left clavicular companion shadow. clinical correlation to assess for any supraclavicular lymphadenopathy is requested. recommendation(s): nonvisualization of the left clavicular companion shadow. clinical correlation to assess for any supraclavicular lymphadenopathy is requested. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 ap view of the chest was provided. multiple overlying wires are present. the lungs appear essentially clear though right cp angle is excluded. a lucency below the right hemidiaphragm could represent air within loops of bowel though free air cannot be excluded. cardiomediastinal silhouette appears grossly unremarkable given patient rotation and/or technique. bony structures are intact. partially imaged hardware in the lumbar spine noted.Write the impressions of this report findings [/INST] low lung volumes, no acute findings in the chest. lucency below the right hemidiaphragm, question free air versus air within bowel. recommend left lateral decubitus view of the abdomen to further assess. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa upright and lateral chest radiograph demonstrate clear lungs bilaterally. there is no pneumothorax or pleural effusion. cardiomediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. no evidence of pulmonary edema. there is no air under the right hemidiaphragm. there is note displaced rib fracture identified.Write the impressions of this report findings [/INST] no acute intrathoracic abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> subtle airspace opacities are noted at the bilateral lung bases, but more prominently on the right, and may represent a focal pneumonia. there is no evidence of pneumothorax, pleural effusion, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits.Write the impressions of this report findings [/INST] possible 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>> pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation pleural effusion or pneumothorax identified. osseous structures demonstrate no acute abnormality.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a central venous catheter terminating in the right atrium, appears unchanged. epicardial leads appear unchanged. the heart is normal in size. the lungs appear clear. there is no pleural effusion or pneumothorax. elevation of the left hemidiaphragm appears similar. bony structures are unremarkable.Write the impressions of this report findings [/INST] no evidence of acute disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable semi-erect chest film <unk> at <time> is submitted.Write the impressions of this report findings [/INST] endotracheal tube, nasogastric tube, and right subclavian picc line are unchanged in position. interval removal of the right internal jugular central line. overall cardiac and mediastinal contours are likely stable. there is residual but improving bilateral airspace opacities suggestive of improving pulmonary edema. superimposed pneumonia cannot be excluded. 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>> cardiomediastinal contours are normal with tortuous aorta. the lungs are clear with no evidence for acute lung disease or pulmonary nodules. there is no pneumothorax or pleural effusion. the lungs are hyperinflated with flattened diaphragms consistent with longstanding tobacco abuse.Write the impressions of this report findings [/INST] no evidence of pulmonary nodules or malignancy. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> new left-sided pacemaker is seen in position, with leads appropriately terminating within the right atrium and ventricle. there is no pneumothorax. cardiomediastinal silhouette is stable and within normal limits with a slightly tortuous aorta. there is no evidence of pulmonary edema or vascular congestion. there are no areas of focal consolidation, pleural effusion, or pneumothorax. again seen are two rounded densities with incomplete borders which correspond to patient's nipples which were marked on the previous study.Write the impressions of this report findings [/INST] appropriately positioned left-sided pacemaker with leads terminating in the right atrium and right ventricle. no pneumothorax or other complications are 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>> there is a right port-a-cath with its tip terminating along the proximal right atrium. there are streaky opacities at the right lung base, possibly reflective of atelectasis. no definite focal consolidation, pleural effusion or pneumothorax is seen. the heart is normal in size, and there is no pulmonary edema.Write the impressions of this report findings [/INST] right basilar streaky opacities likely reflect 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>> lungs are clear and minimally hyperinflated.heart size is top-normal.no pleural effusion or pneumothorax. cervical fixation hardware is partially visualized.Write the impressions of this report findings [/INST] no pneumothorax. top normal heart size. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> 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. there is mild-to-moderate rightward convex curvature centered along the mid-to-lower thoracic spine. bony structures are otherwise unremarkable.Write the impressions of this report findings [/INST] no evidence of acute disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> chest, pa and lateral. findings the lungs are clear. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. median sternotomy cerclage wires intact.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. slight rightward convex curvature centered along the lower thoracic spine appears similar. bony structures are otherwise unremarkable.Write the impressions of this report findings [/INST] no evidence of acute disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lung volumes are low resulting in bronchovascular crowding. otherwise, there are no focal opacities bilaterally. cardiomediastinal and hilar contours are unremarkable. there is mild tortuosity of the aorta. there is no pleural effusion or pneumothorax. a port-a-cath line is noted with the receptacle in the right mid thorax and the tip ending at the level of the cavoatrial junction.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. port-a-cath line in unchanged position ending approximately at the cavoatrial junction. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are low lung volumesWrite the impressions of this report findings [/INST] no acute cardiopulmonary abnormality </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is mildly enlarged. the aorta remains tortuous. mediastinal contours are within normal limits. previously noted right-sided tracheal deviation is no longer identified. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. there are 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>> frontal and lateral radiographs of the chest demonstrate clear lungs. the heart, mediastinal and hilar contours are normal. no pleural abnormality is detected.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 tracheostomy is in place. there is a left-sided picc line, with tip at svc/ra junction. no pneumothorax is detected. there is probable background hyperinflation, consistent with copd. there is hazy of opacity at the right lung base, essentially unchanged. deformity of the left upper lateral chest wall and posterior right rib fractures again noted. there is mild vascular plethora, more pronounced than on the prior film. minimal atelectasis at the left base is slightly more pronounced.Write the impressions of this report findings [/INST] <num>. mild chf, more pronounced than on <unk>. patchy opacity at the left base is also more pronounced, question atelectasis and chf, but attention this area to exclude an early infiltrate is requested. <num>. hazy opacity involving the lower third of the right lung is unchanged. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. there has been no significant change.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> this study was obtained as multiple partial views of the chest, which limits assessment. the et tube tip approximately <num> cm above the carina, along the inferior edge of the clavicular heads on the lordotic view. left subclavian central line tip overlies the confluence of the innominate vein and svc. right ij swan-ganz catheter overlies the region of the rv outlet, similar to the prior film. the ng tube tip is not well visualized. allowing for this, it probably lies just beyond the eg junction and appears retracted compared with the prior study. assessment of pleural parenchymal findings is quite limited due to the technique. allowing for this, again seen is pleural fluid and/or thickening at the left lung apex. the degree of opacification in the left upper and mid zones appears increased. the left costophrenic angle is newly visible, though the retrocardiac opacity persists. clips are again noted overlying the left chest. curvilinear lucency along the inferior edge of the right heart base is noted. no definite pneumothorax is detected . the right lung is overall similar to the prior study.Write the impressions of this report findings [/INST] <num>. lines and tubes as described. probable interval retraction of the ng tube--<unk> tip now lies in the region of the ge junction, probably just beyond it. <num>. limited assessment of the chest due to the absence of a single image that includes the entire chest. allowing for this, there does appear to be increased opacification of the left upper and mid zones -- question asymmetric localized pulmonary edema, atelectasis, or early consolidation. a repeat frontal view to include the entire chest could help for further assessment. <num>. newly visible lucency at the right heart base and in the left costophrenic angle. no definite pneumothorax, but attention to these areas on followup films is requested. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. linear opacity at the left lung base laterally and posteriorly suggestive of atelectasis versus scarring. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no displaced fracture is identified.Write the impressions of this report findings [/INST] 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>> enteric tube is seen to pass below the diaphragm. low lung volumes are noted with crowding of the bronchovascular markings. streaky left basilar opacity is compatible with atelectasis. the cardiomediastinal silhouette is stable. no acute osseous abnormalities.Write the impressions of this report findings [/INST] low lung volumes with bibasilar opacities, most likely atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are low inspiratory volumes. medial uppermost portion both lung apices is obscured by the patient's chin. mild prominence the cardiomediastinal silhouette is again noted, similar to prior, but could be accentuated by low lung volumes. perihilar interstitial markings are slightly increased and there is some atelectasis at both lung bases. possibility of a possibility of an early infiltrate cannot be excluded. no definite upper zone redistribution. no effusion. superior and inferior vertebral body endplate concavities are seen in <num> lower thoracic vertebral bodies, question t<num> and t<num>. the configuration is suggestive of sickle cell. increased density in both humeral heads suggestive of osteonecrosis is noted, question due to osteonecrosis. tiny (<num> mm) density at the left lung apex is again noted, likely a small calcified granuloma. this is unchanged compared with a c-spine ct from <unk>.Write the impressions of this report findings [/INST] increased interstitial markings and bibasilar atelectasis, without effusion or definite upper zone redistribution. question due to chf, though early pneumonic infiltrates could account for changes at the bases, particularly on the left side. in the appropriate clinical setting, an interstitial infiltrate could have a similar appearance. suspect mild cardiomegaly, unchanged. tiny calcified granuloma at the left lung apex. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ett is now <num> cm from the carina. right internal jugular line remains in the right atrium. nasogastric tube remains in similar position. slight increase in opacification of the lungs bilaterally which is widespread. no pneumothorax.Write the impressions of this report findings [/INST] widespread opacification of the lungs has slightly progressed. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs remain clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is stable. 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>> mild enlargement of the heart is re- demonstrated. mediastinal contours are unchanged. there is mild pulmonary edema, with asymmetric opacity in the right lung compared to the left which may reflect asymmetric pulmonary edema. small bilateral pleural effusions, right greater than left are also noted, with bibasilar atelectasis. no pneumothorax is detected. moderate multilevel degenerative changes are noted in the thoracic spine.Write the impressions of this report findings [/INST] probable asymmetric mild to moderate pulmonary edema, more pronounced on the right, 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>> there is a moderate-sized right pneumothorax without significant tension component streaky opacification of the right lung base most likely reflects bronchovascular crowding and associated collapse of the lung. small bilateral pleural effusions are present on the right greater than the left. the lungs are hyperexpanded with flattening of the diaphragm compatible with copd. the pulmonary vasculature is not engorged. cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. there are minimally displaced fractures of the <unk> anterolateral, <unk> posterolateral, and <unk> anterolateral ribs. multilevel degenerative changes are noted in the thoracic spine.Write the impressions of this report findings [/INST] <num>. moderate-sized right pneumothorax with no significant tension component. <num>. minimally displaced right sided rib fractures of the <unk> anterolateral, <unk> posterolateral, and <unk> anterolateral ribs. <num>. small bilateral pleural effusions on the right greater than the left. <num>. findings consistent with underlying copd. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 low in volume resulting in bronchovascular crowding. within this limitation, mild pulmonary vascular congestion is suspected. bibasilar left greater than right opacities are most likely atelectasis though superimposed infection would be difficult to exclude. there is no pleural effusion. the heart is top-normal in size.Write the impressions of this report findings [/INST] limited study due to low lung volumes with likely bibasilar atelectasis and pulmonary vascular congestion. infection cannot be excluded and repeat images with improved inspiration are recommended if infection remains a high clinical concern. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. no prior. the lungs are clear of consolidation or effusion. there is nodular opacity projecting over the anterior left seventh rib. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are essentially unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. nodular density at the left lung base for which repeat shallow oblique films are recommended as this could be within the parenchyma or in the bone. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 has had a previous left pneumonectomy with complete whiteout of the left hemithorax and ipsilateral deviation of the trachea and mediastinum. the right lung is hyperinflated but clear. there is no pneumothorax.Write the impressions of this report findings [/INST] status post left pneumonectomy with a clear hyperinflated right lung. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 hypoinflated. no focal consolidation, pleural effusion or pneumothorax is seen. linear atelectasis is noted in the the left lung base. the heart size is normal, and the mediastinal and hilar contours are normal. no acute osseous abnormality is seen. mild degenerative changes of the mid-thoracic spine is seen.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs demonstrate mild to moderate cardiomegaly, increased compared to <unk>. the lungs are moderately well-aerated, without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. mild to moderate cardiomegaly, increased compared to <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>> supine portable view of the chest demonstrates low lung volumes. bibasilar opacities likely represent atelectasis. perihilar vascular congestion is noted. tortuosity of the descending aorta is noted. heart size is normal. no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] low lung volumes. bibasilar opacities, likely atelectasis and 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>> the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] no acute intrathoracic abnormalities 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>> endotracheal tube tip terminates approximately <num> cm from the carina. lung volumes are low. heart size is mildly enlarged but accentuated as result of low lung volumes. mediastinal widening is likely due to supine ap technique and low lung volumes. crowding of bronchovascular structures is present without overt pulmonary edema. streaky and linear opacities in the lung bases likely reflect areas of atelectasis. more focal patchy opacity in the retrocardiac region could reflect atelectasis but infection or aspiration cannot be completely excluded. no large pleural effusion or pneumothorax is detected on this supine exam. no acute osseous abnormality is visualized.Write the impressions of this report findings [/INST] <num>. endotracheal tube in standard position. <num>. low lung volumes with bibasilar atelectasis. more focal retrocardiac opacity could reflect atelectasis but infection or aspiration cannot be completely 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>> kyphotic projection. the cardiomediastinal shadow unchanged. right-sided picc line in situ with the tip in the mid svc. no airspace consolidation. no pneumothorax. no hilar adenopathy. minor opacity in the left lung base may represent atelectasis and/or small effusion.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>> portable ap upright chest film <unk> at <time> is submitted.Write the impressions of this report findings [/INST] there are now moderate-sized bilateral layering effusions with patchy bibasilar airspace opacities suggestive of compressive lower lobe atelectasis, although pneumonia or aspiration should also be considered. no evidence of pulmonary edema. no pneumothorax. overall cardiac and mediastinal contours are likely stable, although cardiac size is difficult to assess due to the 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>> enteric tube passes into the stomach and out of view. et tube ends <num> cm from the carina. cardiomegaly is stable. there is mild pulmonary edema, slightly decreased from prior study. no pleural effusion or pneumothorax. no focal consolidation. mediastinal and hilar contours are unchanged.Write the impressions of this report findings [/INST] et tube is in appropriate position. slight decrease in pulmonary edema compared to prior study. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> bilateral linear streaky opacities are consistent with atelectasis status post surgery, however given the history, pneumonia can be considered. no pleural effusion or pneumothorax. heart size is normal.Write the impressions of this report findings [/INST] most likely bilateral atelectasis, but pneumonia in the correct clinical setting can be considered. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> endotracheal tube seen with tip <num> cm from the carinal. right sided central venous catheter tip projects over the mid svc. there is no pneumothorax based on a supine film. bibasilar opacities right greater left suggest layering effusions with adjacent atelectasis or infection could also be possible. superiorly the lungs are clear. the cardiac silhouette is enlarged as on prior. atherosclerotic calcifications noted in the thoracic aorta.Write the impressions of this report findings [/INST] lines and tubes as above. bibasilar opacities likely due to layering effusions and atelectasis, infection 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>> there is slightly low lung volumes. heart size is top normal. there are aortic calcifications. there are no pleural effusions or pneumothorax. there is probable mild pulmonary vascular congestion. there is a retrocardiac opacity that may represent pneumonia or atelectasis.Write the impressions of this report findings [/INST] mild pulmonary vascular congestion. retrocardiac opacity is likely atelectasis however cannot rule out infection. recommend clinical correlation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. tracheostomy tube is in unchanged expected position. numerous rounded opacities are noted in both lungs which are increased in size and number compared to the prior study consistent with patient's known metastatic disease no pleural effusion or pneumothorax. normal heart size. stable aortic tortuosity. no definite pneumonia.Write the impressions of this report findings [/INST] increasing size and number of numerous pulmonary metastases. no radio-opaque foreign body. if persistent sensation, a barium swallow could be used to evaluate for foreign body. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> dual-lead left-sided aicd is again seen, unchanged in position, with leads extending to the expected positions of the right atrium, right ventricle, and coronary sinus. the cardiac silhouette is mildly enlarged. there is prominence of the central vasculature and perihilar haziness consistent with mild pulmonary edema. there is persistent slight blunting of the right costophrenic angle, which could be due to pleural thickening/scarring versus trace pleural effusion.Write the impressions of this report findings [/INST] mild cardiomegaly and mild pulmonary edema. slight blunting of the right costophrenic angle could be due to a small pleural effusion versus chronic pleural thickening/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>> frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and clear lungs without evidence of pulmonary metastases. there is no pleural effusion or pneumothorax. no bony abnormality is identified.Write the impressions of this report findings [/INST] no evidence of thoracic metastatic disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the 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.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>> portable semi upright radiograph of the chest demonstrates low lung volumes which results in bronchovascular crowding. there is a moderate left-sided pleural effusion and adjacent atelectasis. there is stable increased opacification of the right lower lung. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. a right-sided picc line ends at the mid svc. the nasogastric tube is coiled in the esophagus.Write the impressions of this report findings [/INST] nasogastric tube is coiled in the esophagus. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size is normal. no configurational abnormality is present. thoracic aorta is mildly elongated but otherwise unremarkable. the pulmonary vasculature is not congested. there are some plate densities in the right base consistent with peripheral atelectasis, but otherwise there is no evidence of any acute parenchymal infiltrate. pleural spaces are free. as shown on previous chest examinations, there is diffuse demineralization of the vertebral bodies in the thoracic spine with compression fractures in the lower-most region involving t<num>, <unk>, and <unk>. these skeletal changes, rather typical for multiple myeloma, appear unchanged. clearly on previous examination identified bilateral basal parenchymal infiltrates have cleared up, and the chest findings are now within normal limits.Write the impressions of this report findings [/INST] improvement of chest findings. no evidence of persistent pneumonia. stable bone changes in the thoracic spine as described. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> resolved right upper lung atelectasis is prior radiograph. significantly improved right basilar atelectasis. improved interstitial opacities. changes of descending aortic dissection with aortic endograft in place, similar. endotracheal, right ij central lines in place, similar. increased heart size.Write the impressions of this report findings [/INST] significantly improved right lung aeration. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal opacity, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable.Write the impressions of this report findings [/INST] clear 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>> frontal and lateral chest radiographs demonstrate improvement but not resolution of a right lower lobe opacity, which could represent residual disease. a left lower lobe opacity is not well seen today, and could represent resolution of a focus of multifocal pneumonia or atelectasis versus obscure a shin of a prominent fat pad by the left hemidiaphragm. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] a right lower lobe opacity is decreased but still minimally present and could represent residual disease. recommend followup chest radiograph in <num> weeks. these findings were entered into the critical communications dashboard by dr. <unk> at <time> 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>> a right chest tube has been removed. there is no pneumothorax. aeration of the right lung has improved. there is some residual basilar atelectasis. a left-sided chest tube remains in place. however, the loop of the pigtail is not completely within the thoracic cavity. the position has not changed since recent radiographs. there is a moderate residual left pleural effusion and small residual right pleural effusion. there are no new abnormal cardiac contours. external pacing leads are in unchanged positions.Write the impressions of this report findings [/INST] no pneumothorax and improved right lung inflation after removal of right chest tube. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.Write the impressions of this report findings [/INST] no acute cardiopulmonary process, specifically no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs demonstrate well-expanded lungs. heart is normal in size and cardiomediastinal contour is unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. right lateral rib deformity likely reflects remote injury.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 chest radiographs demonstrate clear lungs without effusion or pneumothorax. the cardiac silhouette is normal in size, mediastinal contours are notable for tortuosity of the thoracic aorta. the pulmonary vasculature is normal. multilevel degenerative change of the thoracic spine, unchanged. there is marked gynecomastia.Write the impressions of this report findings [/INST] no acute chest 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 were obtained. there is basilar atelectasis without definite 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>> portable ap view of the chest provided. slight elevation of the left hemidiaphragm is unchanged. there is improved overall aeration within the lungs compared with prior exam without definite signs of pneumonia or chf. suture material is seen in the left pulmonary hilum, unchanged, compatible with prior partial lung resection. tubular hyperdensity along the left heart border could represent a coronary stent. no large effusion or pneumothorax. heart and mediastinal contours are stable with mild cardiomegaly and tortuosity of the thoracic aorta again noted. imaged osseous structures are intact.Write the impressions of this report findings [/INST] no acute findings in the chest. improved aeration compared with prior. copd 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>> the patient is status post median sternotomy. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lung volumes are low. mild atelectasis is noted at the lung bases, with no focal consolidation. no pleural effusion or pneumothorax is present. there is no focal consolidation. there are no concerning osseous abnormalities.Write the impressions of this report findings [/INST] low lung volumes with mild bibasilar atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 radiographs were provided. lungs are well expanded. there is no focal consolidation, pleural effusion, or pneumothorax. heart size is top normal. the bones are intact.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. borderline heart size. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest are provided. midline sternotomy wires and mediastinal clips are noted. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours are normal. 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>> the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there are post-surgical changes at the right lung apex, but no pneumothorax. there is no pleural effusion. the lungs appear clear. bony structures are unremarkable.Write the impressions of this report findings [/INST] post-surgical changes at the right lung apex, but no evidence of pneumothorax or other acute cardiopulmonary disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is mild pulmonary edema. there is no new consolidation. the previously identified left pleural effusion has resolved. no pleural effusion is present. there has been reexpansion of the left lower lung with only minimal residual atelectasis. there is no pneumothorax. the cardiomediastinal silhouette is unchanged with stable severe cardiomegaly. the patient is status post a median sternotomy. the wires are intact.Write the impressions of this report findings [/INST] <num>. mild pulmonary edema. <num>. stable severe cardiomegaly. <num>. resolution of left pleural effusion and left lower lobe collapse. </s>