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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable semi-upright radiograph of the chest demonstrates minimal persistent left-sided apical pneumothorax status post chest tube placement. the lungs are hyperinflated. there is left basalar atelectasis. the cardiomediastinal and hilar contours are unchanged. anchor screws project over the right proximal humerus.Write the impressions of this report findings [/INST] small left-sided apical pneumothorax status post chest tube placement. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are low lung volumes and bibasilar atelectasis without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. no change from <unk>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest were obtained. right upper lobe scarring and volume loss are unchanged. small bilateral pleural effusions are unchanged from <unk> with mild bibasilar atelectasis. there is no new opacity. cardiac and mediastinal silhouettes and hilar contours are stable. pacemaker leads end in the right atrium and right ventricle. fracture of the inferior-most median sternotomy wire is unchanged. no pneumothorax.Write the impressions of this report findings [/INST] no pneumothorax. small bilateral pleural effusions are 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>> portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. cardiomediastinal and hilar contours are unchanged. engorged pulmonary vasculature and mediastinal veins is suggestive of volume overload versus cardiac decompensation. mild cardiomegaly is unchanged. small bilateral pleural effusions are unchanged. right pectoral port-a-cath ends at the origin of the svc. no pneumothorax.Write the impressions of this report findings [/INST] engorged pulmonary vasculature and mediastinal veins is suggestive of volume overload versus cardiac decompensation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 and hilar contours. stable, mildly hyperinflated, clear lungs. no pneumothorax or pleural effusion.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>> the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. heart and mediastinal structures appear normal. no acute displaced fractures are 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>> heart size, mediastinal and hilar contours are normal. lungs and pleural surfaces are clear.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>> the lungs are hypoinflated which crowd the bronchovascular structures. again noted is right hilar prominence consistent with known lymphadenopathy, which while difficult to compare, appears more prominent. known right upper lobe pulmonary nodules are not clearly delineated on this study. linear right lung base opacity is noted and in a similar region as fdg-avid focus in the right lung base but difficult to assess and may be atelectasis. no other focal consolidation is noted. cardiac silhouette appears stable. dextroscoliosis of the mid-thoracic spine is again noted along with kyphosis. moderate hiatal hernia is again noted.Write the impressions of this report findings [/INST] the lungs are hypoinflated and crowd the bronchovascular structures. there is however suggestion of increased right hilar lymphadenopathy. there is also an opacity at the right lung base which may be atelectasis but in the same region as previously visualized fdg-avid focus noted on <unk>. a contrast-enhanced ct of the chst is recommended for further evaluation. these findings were submitted to the radiology critical result dashboard by dr. <unk> 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 pigtail pleural catheter is in place. the lateral right hydropneumothorax is now more filled with fluid with small amount of air seen at the apex. there is now a small left pneumothorax. hazy opacity overlying the right base is likely atelectasis. the left lung is clear. cardiomediastinal silhouette is unchanged in the setting of lower lung volumes compared to prior radiograph. multiple loops of distended bowel are incompletely visualized.Write the impressions of this report findings [/INST] <num>. new small left pneumothorax. <num>. right hydropneumothorax persists with now more fluid in the lateral basilar portion with air collecting at the apex. these findings were discussed with <unk> by dr. <unk> <unk> telephone at <time> a.m. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 top normal. the mediastinal and hilar contours are unchanged. there is no pulmonary edema. minimal streaky bibasilar opacities likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. minimal degenerative spurring is noted within the thoracic spine.Write the impressions of this report findings [/INST] probable mild bibasilar atelectasis. no focal consolidation to suggest 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>> cardiomediastinal contours are stable with cardiac size normal and tortuous aorta. . the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spineWrite the impressions of this report findings [/INST] no acute cardiopulmonary abnormalities or evidence of large lung nodules </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. low lung volumes result in bronchovascular crowding, although aeration and persistent bibasilar atelectasis are improved from <unk>. right chest wall air has resolved. a right intravenous catheter ends in the lower svc with a port needle in place. there may be a small right pleural effusion. no pneumothorax.Write the impressions of this report findings [/INST] improved lung aeration with persistent bibasilar atelectasis. possible small right effusion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs were provided. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the bones are 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 cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the right hemithorax is opacified with volume loss. the lateral view suggests a large mass, which is located posteriorly, probably in the left lower lobe. there is probably a very small pleural effusion on the left. nodular opacities are widespread in the left lung, suggesting metastases.Write the impressions of this report findings [/INST] volume loss and opacification of the right hemithorax. correlation with surgical history is recommended. this appearance could be normal after prior pneumonectomy, but may reflect a large malignant pleural effusion otherwise with substantial atelectasis. widespread nodularity in the left lung is consistent with metastatic disease, but no recent comparison studies are available in our system. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 opacity in the right middle lobe adjacent to right heart border noted. persistent low lung volumes are seen with markedly enlarged cardiac silhouette, but no pulmonary edema or pleural effusion is seen.Write the impressions of this report findings [/INST] new right middle lobe opacity likely representing aspiration. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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-sided mediport terminates in the low svc. there is no pneumothorax or pleural effusion. the lungs are clear. the heart and mediastinum are within normal limits.Write the impressions of this report findings [/INST] clear lungs. resolved 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>> opacity in the right lower lobe obscures the spine on lateral view and right heart border on frontal view. lung volumes are low. there is no pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.Write the impressions of this report findings [/INST] opacity in the right lower lobe concerning for pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lungs are clear. 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>> ap view of the chest provided. lung volume are low. there are new large pleural effusions bilaterally, which opacifies the lower lungs and probably accompanies atelectatic changes. heart size appears larger compared to prior study. the vascular pedicle also appears slightly widened, again reflecting increased central venous pressure. the right ij line terminates in the right atrium. esophageal drainage tube runs into the stomach and out of view. a small bore tube with multiple fenestration ends in lower esophagus just above the gastroesophageal junction.Write the impressions of this report findings [/INST] evidence of volume overload, including new large bilateral pleural effusions, widened vascular pedicle, and enlarged heart. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. no pulmonary edema 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 views of the chest. no prior. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> bibasilar opacities are seen concerning for pleural effusions with overlying atelectasis. no evidence of pneumothorax is seen. cardiac silhouette is enlarged. no overt pulmonary edema is seen. mediastinum is grossly unremarkable. spine hardware is partially imaged and not well assessed on this study. no evidence of free air is seen beneath the diaphragms.Write the impressions of this report findings [/INST] no evidence of free air. bibasilar opacities could be due to combination of pleural effusion and 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 cardiac silhouette appears top normal in size. there is mild tortuosity of the descending aorta. patient is status post median sternotomy. the mediastinum is well defined and the hilar contours are within normal limits. there is no definite focal consolidation, pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary findings. mediastinal contour appears grossly unremarkable, however ct is recommended if there is strong 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>> basilar atelectasis is re-demonstrated. there is no pneumonia, pulmonary edema or pneumothorax. no large pleural effusions. cardiomediastinal silhouette is within normal limits. there is an incidentally noted bridge between the left <unk> and <num>th ribs. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no significant interval change since the prior 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 demonstrate 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 intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well expanded and clear without definitive evidence of pneumonia. the cardiomediastinal silhouette and hilar contours appear normal. focal irregularity and increased opacity overlying the eighth posterior rib on the right likely represents healing rib fracture. there is no pleural effusion or pneumothorax. a double-lumen port-a-cath is unchanged in position. the lateral radiograph re-demonstrates compression fracture of l<num> and lytic lesion of the vertebral body of t<num>.Write the impressions of this report findings [/INST] there is no definitive evidence of pneumonia. there is no significant appreciable change compared to next most recent chest radiograph. the above results were communicated via telephone by dr. <unk> to <unk> <unk> at <time> p.m. as 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>> there has been interval placement of a right chest wall port with catheter tip at the ra svc junction. low lung volumes are again noted, the lungs remain posterior clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no focal consolidation, pleural effusion or pneumothorax. minimal bibasilar atelectasis. cardiomediastinal contours are normal. no acute osseous abnormalities identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary process 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>> a left base opacification, not clearly seen on the lateral radiograph is new since <unk> and could represent atelectasis or infection in the appropriate clinical setting. there is persistent right mid lung opacity laterally which has persisted since <unk>. the lungs are otherwise clear without pulmonary edema, pleural effusion or pneumothorax. the the heart size is top normal. the aorta is tortuous. there is no free air.Write the impressions of this report findings [/INST] a left base opacity, not clearly seen on the lateral radiograph, is new since <unk> could represent atelectasis or infection 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 apparent increase in mediastinal caliber is due to patient positioning, rotated to the right. no apparent change in the left lung, which is clear but less well penetrated due to overlying breast tissue. there is a band of atelectasis in the right lung, seen on the radiograph from the prior day. no focal consolidations concerning for pneumonia.Write the impressions of this report findings [/INST] <num>. no evidence of pneumonia. <num>. unchanged band of atelectasis in the 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 clear of focal consolidation, pleural effusion or pneumothorax. lower lobe bronchiectasis is noted. the heart is normal in size. there are surgical clips projecting over the right breast. no displaced rib fractures are noted. although no acute fracture or other chest wall lesion is seen, conventional chest radiographs are not sufficient for detection or characterization of most such abnormalities. if the demonstration of trauma to the chest wall is clinically warranted, the location of any referable focal findings should be clearly marked and imaged with either bone detail radiographs or chest ct scanning.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 tip of the endotracheal tube is approximately <num> cm from the carina. right internal jugular central venous catheter terminates at the cavoatrial junction. the lungs are clear, cardiac and hilar contours are normal, and no pleural effusion or pneumothorax is seen.Write the impressions of this report findings [/INST] no interval change. stable support devices. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 endotracheal tube which terminates <num> cm above the level the carina. enteric tube terminates in the stomach. the lungs are clear of focal consolidation, pleural effusion or pneumothorax. there is central pulmonary vascular congestion, and the heart is normal in size.Write the impressions of this report findings [/INST] appropriate position of support lines and tubes. 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>> right port-a-cath in place. elevated right hemidiaphragm, stable. bibasilar opacities, mildly more prominent on the right, likely atelectasis. pneumonitis cannot be excluded in the appropriate clinical setting. there may be tiny right pleural effusionWrite the impressions of this report findings [/INST] more prominent bibasilar opacities, likely atelectasis; pneumonitis cannot be excluded in the appropriate clinical setting, particularly on the right. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the ng tube extends to the level of the distal esophagus. right-sided pic line terminates in the mid svc. there is a right-sided ij which terminates in the upper svc. small-to-moderate left pleural effusion is unchanged. there is no evidence of pneumothorax. please note that the right lung is only partially evaluated as parts have been cut off from this film.Write the impressions of this report findings [/INST] ng tube extends to the level of the mid-to-distal 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>> compared with the prior radiograph, the cardiomediastinal silhouette is normal in size and unchanged. lungs are clear without focal consolidation, effusion, or pneumothorax.Write the impressions of this report findings [/INST] no focal consolidation concerning for pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well inflated. increased heterogeneous granular opacities within bilateral lung bases. lucencies projecting along the right costophrenic angle and along lateral right pleural surface may represent blebs. pleural plaques again noted. there is evidence of severe emphysema. persistent moderate left basilar pneumothorax. no pleural effusion. no significant change since prior examination. heart size, mediastinal contour, and hila are unremarkable. aortic arch calcifications are present. a right anterior chest wall pacer device with single lead tip within the right ventricle.Write the impressions of this report findings [/INST] <num>. stable moderate left basilar pneumothorax. <num>. evidence of severe emphysema with right costophrenic and lateral right pleural blebs. <num>. increased bibasilar opacities are worrisome for aspiration or aspiration pneumonia. <num>. pleural plaques consistent with prior asbestosis exposure. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 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 remain low, accentuating the cardiac silhouette and bronchovascular structures. there is increased opacity at the right upper lung which could be related to prominence of the azygos fissure and azygous vein due to increased venous pressures. however, in the appropriate clinical setting, these findings could also be related to aspiration. in addition, there is an increased area of opacity along the right perihilar region and right lung base which could be related to atelectatic changes. however, in the appropriate clinical setting, early pneumonia should also be considered. a left picc line remains unchanged, terminating in the mid svc.Write the impressions of this report findings [/INST] increased opacity at the right upper lung which could be related to increased venous pressures and increased right perihilar region and right lung base opacity. in the appropriate clinical setting, aspiration and early pneumonia should also 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>> pa and lateral views of the chest provided. multiple tiny surgical clips are seen projecting over the chest wall. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> aside from minimal left lower lobe atelectasis, the lungs are clear. there is no pneumothorax or pleural effusion. the aorta is stably tortuous, but otherwise the hilar and cardiomediastinal contours are normal.Write the impressions of this report findings [/INST] left lower lobe atelectasis without 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>> there is no focal consolidation. a nipple shadow is visible on the right. the chest is hyperinflated. there is a small pleural effusion on the left. the cardiac and mediastinal contours are unchanged. cardiac pacer leads are in appropriate position. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] no evidence of pneumonia. small left-sided pleural effusion. hyperinflation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. mild to moderate degenerative changes are noted in the thoracic spine. no subdiaphragmatic free air is present.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were obtained. there are linear densities in the lower lungs which are most compatible with scarring and appear essentially stable from the prior exam. there is no definite sign of pneumonia or chf. no pleural effusion or pneumothorax is seen. cardiomediastinal silhouette is stable with top normal heart size with atherosclerotic calcifications along the unfolded thoracic aorta. the imaged osseous structures demonstrate diffuse osseous demineralization and old rib deformities in the left rib cage.Write the impressions of this report findings [/INST] areas of scarring in the lower lungs. please note, given this appearance, a subtle nodule may be obscured. if there are elevated risk factors for lung cancer, non-emergent ct of the chest may be obtained. no definite signs of acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap view of the chest. tracheostomy tube ends <num> cm from the carina. right picc line ends in the low svc. left pacemaker leads are in appropriate position. prosthetic cardiac valves are unchanged. sternotomy wires and mediastinal clips are unchanged. large left pleural effusion is unchanged. there is mild improvement in aeration of the right lung. still mild pulmonary edema persists and cardiomegaly is unchanged.Write the impressions of this report findings [/INST] slightly better aeration of the right lung. persistent bilateral pleural effusions, large on the left and small-to-moderate on the right. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a right-sided picc line terminating in the superior vena cava or lower, but its tip is not well delineated. moderate cardiomegaly is noted with bilateral perihilar fullness and prominent indistinct vascularity suggesting pulmonary vascular congestion, although less prominent. the costophrenic sulci are not well visualized laterally due to overlying soft tissue structures but there is no definite evidence for pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] findings suggesting pulmonary vascular congestion but improved. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. the lungs are clear. the atelectasis seen on chest radiograph dated <unk> (right lower lung) has resolved. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.Write the impressions of this report findings [/INST] resolution of previously seen right lower lung opacity. no acute findings. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the endotracheal tube ends <num> cm above the level carina. the tunneled right internal jugular central venous catheter is unchanged in position. a skin fold on the left obscures what was previously defined as atelectasis on the radiograph from <unk>. mild to moderate right lower lung atelectasis unchanged. small pleural effusions are increased. there is no pneumothorax.Write the impressions of this report findings [/INST] <num>. bibasilar atelectasis, likely unchanged. <num>. increased small 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>> left-sided pacemaker device is noted with leads terminating the right atrium and right ventricle. the patient is status post median sternotomy and aortic valve replacement. heart size remains severely enlarged. the aorta is tortuous and calcified at the aortic arch. pulmonary vasculature is not engorged. lungs are hyperinflated. patchy opacities are seen within both lung bases, likely atelectasis. calcified granuloma in the right upper lobe is unchanged. no focal consolidation, pleural effusion or pneumothorax is identified. osseous structures are diffusely demineralized with compression deformities of <num> adjacent vertebral bodies at the thoracolumbar junction appearing unchanged.Write the impressions of this report findings [/INST] patchy bibasilar opacities, 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>> a left chest wall and lead pacemaker is present. the tip of the right picc line overlies the mid svc. trace bilateral pleural effusions with overlying atelectasis. there is new mild interstitial edema. no pneumothorax identified. the size of the cardiac silhouette is mildly enlarged but unchanged.Write the impressions of this report findings [/INST] new mild interstitial pulmonary edema. trace bilateral pleural effusions with adjacent 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>> pa and lateral chest radiograph demonstrates no focal consolidation convincing for pneumonia. lungs are clear bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrates no acute abnormality.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>> left heart and mediastinal contours are normal. right heart border and lower mediastinal contours are obscured by a large multi loculated pleural abnormality including fissural fluid loculation. moderate volume loss in the right hemithorax indicates that severe atelectasis in the right middle and lower lobes exceeds volume displacement by the pleural effusion. right hilus may be enlarged. two subcentimeter nodules are seen in the middle and upper left lung. left pleural effusion is tiny. the tip of a right central venous infusion port catheter is in the right atrium. no pneumothorax.Write the impressions of this report findings [/INST] <num>. large multi loculated right pleural abnormality, including fissural fluid loculations, accompanied by severe atelectasis right middle and lower lobes and possible right hilar mass. <num>. at least <num> subcentimeter nodules in the left mid and upper lungs. recommendation(s): recommend obtaining prior chest radiographs and/or chest ct, with intravenous contrast if tolerated, for elucidation of the findings on this study. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no evidence of fracture. of note, chest radiographs are not designed to detect subtle changes in pulmonary parenchyma such as contusions. if clinical concern is high, focal views could be pursued for further assessment.Write the impressions of this report findings [/INST] normal chest radiographic examination. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 chest film <unk> at <time> is submitted.Write the impressions of this report findings [/INST] spinal hardware is now seen overlying the lower cervical and upper thoracic spine. right subclavian picc line is unchanged in position. the nasogastric tube has been removed. an endotracheal tube remains in place with the tip approximately <num> cm above the carina. there is improved aeration but persistent consolidation in the retrocardiac area suggestive of partial lower lobe atelectasis, although pneumonia cannot be entirely excluded. there has been interval appearance of free air within the peritoneal space likely related to recent peg placement. 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>> heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. moderate degenerative changes of the thoracolumbar spine appear similar including mild s-shaped curvature. the bones appear probably demineralized.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 radiograph <unk> at <time> is submitted.Write the impressions of this report findings [/INST] there is increasing opacity in the right mid and lower lung and a stable opacity in the left lung with associated cephalization of the vasculature. given the rapidity of change, this would favor pulmonary edema rather than pneumonia. clinical correlation is advised. no pleural effusions or pneumothorax. overall cardiac and mediastinal contours appear stable given differences in positioning. right internal jugular central line, esophageal probe, and nasogastric tube are likely unchanged in position. endotracheal tube now has its tip <num> cm above the carina. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 is seen approximately <num> cm above the carina in this projection. a left-sided picc terminates in the mid svc. a right pigtail catheter remains in place at the base of the right lung. again seen are bilateral airspace opacities consistent with pulmonary edema, which has improved from the prior study. the right-sided pulmonary effusion is decreased in size from the prior exam. the cardiomediastinal silhouette and hilar contours are grossly unchanged. there is no evidence of pneumothorax.Write the impressions of this report findings [/INST] <num>. right pleural effusion is significantly decreased in size. <num>. et tube seen <num> cm above the carina and should be advanced <num>-<num> cm for appropriate position. these findings were communicated to dr. <unk> by telephone by dr. <unk> at <time> pm 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>> the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest were obtained. lungs are hyperinflated, flattening of the diaphragms. there is mild apical pleural thickening. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. cardiac and mediastinal silhouettes are stable and 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>> evaluation of lung bases are limited due to overlying dense breast tissue. no consolidation is identified in the upper lungs. there is no pneumothorax or large pleural effusion. cardiac silhouette is upper limits of normal in size.Write the impressions of this report findings [/INST] evaluation of lung bases is limited due to overlying dense breast tissue. no radiographic evidence of pneumonia is identified within this limitation. consider obtaining standard pa and lateral view radiographs for better evaluation of the lung bases. recommendation(s): consider obtaining standard pa and lateral view radiographs for better evaluation of the lung bases. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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, pulmonary edema, or pneumothorax is present. the cardiomediastinal silhouette and pleural surface contours are normal. no free air beneath the diaphragm. no displaced fracture identified.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. no 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>> patient is status post median sternotomy, cabg, and mitral valve replacement. a left-sided aicd device is noted with leads terminating in the region of the right ventricle, unchanged. a coronary artery stents are also noted. heart size is top normal. previous pattern of pulmonary edema has essentially resolved, with only mild pulmonary vascular congestion noted. atelectasis in the right lung base is present without focal consolidation. blunting of the right costophrenic angle suggests a small pleural effusion. no pneumothorax is present. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] <num>. resolution of previously noted moderate pulmonary edema, now with only mild pulmonary vascular congestion. <num>. trace 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>> the heart size remains mild to moderately enlarged. the mediastinal contour is unchanged with a right paratracheal mediastinal fiducial clip again noted with adjacent post-treatment changes. the lungs are hyperinflated with flattening of the diaphragms compatible with copd. the pulmonary vascularity is normal and the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. multilevel degenerative changes are noted in the thoracic spine.Write the impressions of this report findings [/INST] no radiographic evidence for pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable semi-upright radiograph of the chest demonstrates moderate-sized right pleural effusion which may have possible loculated component, with adjacent atelectasis of the right lower lung. the cardiomediastinal and hilar contours are unremarkable. the left lung is clear. there is no pneumothorax.Write the impressions of this report findings [/INST] moderate right-sided pleural effusion with possible loculated component and adjacent atelectasis. recommend lateral radiograph of the chest for additional evaluation of possible loculation of pleural effusion if patient's condition permits. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> small left pleural effusion and/or pleural scarring is noted. there appears to be pleural calcification. there is biapical pleural thickening. there is no consolidation or pneumothorax. cardiomediastinal silhouette is normal size.Write the impressions of this report findings [/INST] small left lung base pleural scarring and/or pleural effusion of unknown chronicity. lungs are clear. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 line with tip in the mid svc is unchanged. the right ij swan-ganz catheter is been removed. the dual lead pacemaker has leads in similar location as prior. there continues to be moderate cardiomegaly. there is no focal infiltrate. there is a tiny right effusion. there is mild pulmonary vascular redistribution.Write the impressions of this report findings [/INST] moderate cardiomegaly but no overt chf. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> endobronchial lung reduction with coils are again seen. increased interstitial markings are seen throughout the lungs which appear chronic, unchanged. there is no new consolidation. there is no effusion. the cardiomediastinal silhouette is within normal limits. multiple thoracic compression deformities are better seen on prior ct.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. the lungs are clear without effusion, consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality 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>> pa and lateral chest radiographs. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> compared with the radiograph from <num> hr prior, the right pleural drainage catheter has been retracted, with resultant decrease in the size of the persistent small to moderate right pleural effusion. right basilar atelectasis is new. there is no pneumothorax. the right picc line ends in the low svc. right basilar atelectasis is unchanged. pulmonary vascular congestion in the left lung is mild, and borderline cardiomegaly is unchanged. no left pleural effusion.Write the impressions of this report findings [/INST] <num>. interval retraction of the right pleural drainage catheter, with resultant decrease in the persistent small to moderate right pleural effusion. <num>. new right basilar atelectasis. <num>. no evidence of 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>> mild cardiomegaly is stable. right ij catheter tip is in the mid to lower svc. there is no pneumothorax. bilateral effusions are small and associated with adjacent atelectasis. calcified granulomas are again noted. . sternal wires are aligned. no other changesWrite the impressions of this report findings [/INST] small bilateral effusions. 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 heart is at the upper limits of normal size. the mediastinal and hilar contours are unremarkable. 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 disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are moderately well inflated with subtle retrocardiac opacity. no pulmonary edema. no pleural effusion or pneumothorax. the heart is top-normal in size. mediastinal contour and hila are unremarkable.Write the impressions of this report findings [/INST] subtle left base opacity most likely represents atelectasis however early pneumonia cannot be excluded 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>> compared to the prior study there is no significant interval change.Write the impressions of this report findings [/INST] no change. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lung volumes are low and the heart is moderately enlarged. there bilateral small to moderate pleural effusions with volume loss at both bases. there is hazy increased lung markings in the upper lobes but no definite infiltrateWrite the impressions of this report findings [/INST] bilateral pleural effusions with lower lobe volume loss/ infiltrate as seen on the ct </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 normal and clear. heart size is normal. the mediastinal and hilar contours are normal. there is no pulmonary edema. there is no pleural effusion or pneumothorax. the aortic arch is calcified. right picc line terminates in the low svc.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. no 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 without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no definite fracture is identified. specifically, the sternum appears intact without evidence of a cortical defect.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary process. <num>. no evidence of a sternal 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>> frontal and lateral views of the chest. the lungs are clear. there is no consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. the heart is markedly enlarged as on prior. the aorta is unfolded. lung volumes are low limiting assessment. there is no focal consolidation, large effusion or pneumothorax. no convincing signs of congestion or edema. imaged bony structures are intact. degenerative changes are severe both shoulders. no free air seen below the right hemidiaphragm.Write the impressions of this report findings [/INST] severe cardiomegaly 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>> persistent cardiomegaly accompanied by pulmonary vascular congestion, mild interstitial edema and minimal pleural effusions. a persistent right infrahilar opacity is associated with volume loss and may be related to previously reported chronic right middle lobe volume loss dating back to <unk> radiographs and also evident on chest ct of <unk>. ossifications or calcifications are again demonstrated about the left shoulder joint, possibly due to synovial osteochondromatosis.Write the impressions of this report findings [/INST] mild congestive heart failure. chronic right middle lobe atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged with top-normal heart size. imaged osseous structures are intact.Write the impressions of this report findings [/INST] top normal heart size. otherwise unremarkable. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a small right apical pneumothorax, which is unchanged in size. there is increased opacification at the right midlung and right base, which may represent increasing pleural effusion layering and tracking within the minor fissure. there is right basilar compressive atelectasis. cardiomediastinal silhouette is stable. the pulmonary vasculature is normal.Write the impressions of this report findings [/INST] <num>. unchanged size of the small right apical pneumothorax. <num>. increased opacification within the right lung, which likely represents a moderate sized layering right pleural effusion with compressive atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were provided. the lower lungs are poorly inflated, with crowding of bronchovasculature and atelectasis noted. no definite consolidation or signs of pulmonary edema. no effusion or pneumothorax. the heart appears top normal in size. the mediastinal contour is normal. bony structures are intact.Write the impressions of this report findings [/INST] limited, negative. please refer to subsequent ct chest for further details. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. cardiomediastinal silhouette is stable to prior. 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>> heart size is normal. mediastinal and hilar contours are within normal limits and unchanged. the aortic knob is calcified. there are emphysematous changes again noted, severe in extent. <num> mm nodular opacity projecting over the left lung apex is new compared to the prior study, but could reflect the end of the left <num>st rib or a summation of shadows. no focal consolidation, pleural effusion or pneumothorax is present. blunting of the costophrenic angle on the left posteriorly likely is due to chronic pleural thickening. no acute osseous abnormalities are present. cholecystectomy clips are seen in the right upper quadrant the abdomen.Write the impressions of this report findings [/INST] <num>. severe emphysema without acute abnormality. <num>. <num> mm nodular opacity within the left lung apex. shallow oblique views are recommended to assess if this is a true nodule versus a summation of shadows or rib end. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. mild opacity in the right upper lobe is unchanged from <unk> ct allowing for differences in technique. there is no new opacity and no focal consolidation, pleural effusion, or pneumothorax. heart size is normal. mediastinal silhouette is normal. left hilar prominence is due to known left hilar lymphadenopathy.Write the impressions of this report findings [/INST] no pneumonia, edema, or effusion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral chest radiographs were obtained. there is a small right-sided pleural effusion with associated compressive basilar atelectasis. a small granuloma is present in left upper lobe. no focal consolidation, pulmonary edema, or pneumothorax is seen. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal.Write the impressions of this report findings [/INST] small right pleural effusion with 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>> the endotracheal tube ends <num> cm above the level of the carina, not significantly changed. an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. there is minimal bilateral lower lung atelectasis, not significantly changed. there is no focal consolidation. the heart size is normal. enlargement of the hila, right greater than left, is not significantly changed. there are no pleural effusions. no pneumothorax is seen.Write the impressions of this report findings [/INST] <num>. no acute cardiac or pulmonary process with unchanged minimal bilateral lower lung atelectasis. <num>. enlargement of the hila, right greater than left, could be lymphadenopathy or may relate to arterial hypertension, not significantly changed. close radiographic follow-up is recommended. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a single portable frontal chest radiograph was obtained. extensive airspace consolidation with air bronchograms involves the right upper and lower lobes, obscuring a known underlying mass. there is no effusion or pneumothorax. cardiomegaly and aortic arch calcifications are mild.Write the impressions of this report findings [/INST] new right upper and lower lobe airspace consolidation obscuring a known right hilar mass may represent hemorrhage or 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>> compared to the prior study there is no significant interval change. no focal infiltrate or fewWrite the impressions of this report findings [/INST] no change. no 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>> right lower lobe consolidation is probably similar to the recent study allowing for differences in lung volumes. small-to-moderate right pleural effusion is also similar. cardiac silhouette is normal in size. fullness in the right lower mediastinal and hilar regions is unchanged, and widespread pulmonary nodules are similar to the recent study as well.Write the impressions of this report findings [/INST] <num>. persistent right lower lobe pneumonia and adjacent small-to-moderate pleural effusion. <num>. widespread pulmonary metastases. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation. there is, however, small, new right-sided pleural effusion. there has also been enlargement of the cardiac silhouette. there is a suggestion of a right apical nodule. this is unlikely to represent a bone island as it was not seen on prior. elsewhere, lungs are clear. osseous and soft tissue structures are unremarkable.Write the impressions of this report findings [/INST] <num>. new small right-sided pleural effusion. <num>. interval enlargement of the cardiac silhouette. <num>. right apical nodule for which apical lordotic view is suggested. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> surgical clips project along the base of the neck associated with prior thyroid surgery. the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. the lungs appear clear. there are no pleural effusions or pneumothorax.Write the impressions of this report findings [/INST] no evidence of acute disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 is moderate cardiomegaly. there is mild mediastinal lymphadenopathy. there is an interstitial pattern in both lungs which demonstrates interval improvement when compared to prior examination. there are no focal consolidations. there are no pleural effusions or pneumothorax. visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] improved appearance of interstitial changes. mild mediastinal lymphadenopathy. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone on <unk> at <time> am, 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>> support devices: none. diffusely increased interstitial markings and cephalization of pulmonary vasculature is consistent with mild pulmonary edema. there is no focal airspace opacity. there is no pneumothorax or pleural effusion. there is mild cardiomegaly.Write the impressions of this report findings [/INST] mild interstitial pulmonary edema. no focal airspace 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>> ap single view of the chest has been obtained with patient in upright position. comparison is made with the frontal view of the next preceding chest examination obtained two hours earlier during the same day. chest tube is now on suction. the volume of the basal right-sided pneumothorax cavity has markedly decreased indicating effective suction accomplished through the tube. on this single ap chest view, there is no evidence of remaining pleural effusion in the lateral pleural sinus. if the volume of the small pleural fluid residual as noted on the lateral view of the preceding examination has been changed can of course not be decided.Write the impressions of this report findings [/INST] effective suction reducing size of residual basal 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>> two frontal images of the chest demonstrate slight interval improvement in the right basilar pneumothorax since previous imaging. the rest of the chest radiograph is essentially unchanged from prior imaging. the right basilar opacity is unchanged. the left-sided pleural effusion has not changed since prior imaging. there is no right-sided pleural effusion. mild cardiomegaly is stable. again seen is the svc stent, femoral central line with tip in the right atrium, and pigtail catheter at the right lung base.Write the impressions of this report findings [/INST] slight improvement in right basilar pneumothorax since prior imaging. otherwise, essentially unchanged chest radiograph. </s>