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<s>[INST] tensor([[[-0.9983, -0.9983, -0.9983, ..., -0.9986, -0.9986, -0.9986], [-0.9984, -0.9984, -0.9984, ..., -0.9986, -0.9986, -0.9986], [-0.9984, -0.9984, -0.9984, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9973, -0.9974, -0.9975, ..., -0.9986, -0.9986, -0.9986], [-0.9977, -0.9978, -0.9978, ..., -0.9986, -0.9986, -0.9986], [-0.9982, -0.9983, -0.9983, ..., -0.9986, -0.9986, -0.9986]], [[-0.9983, -0.9983, -0.9983, ..., -0.9986, -0.9986, -0.9986], [-0.9984, -0.9984, -0.9984, ..., -0.9986, -0.9986, -0.9986], [-0.9984, -0.9984, -0.9984, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9973, -0.9974, -0.9975, ..., -0.9986, -0.9986, -0.9986], [-0.9977, -0.9978, -0.9978, ..., -0.9986, -0.9986, -0.9986], [-0.9982, -0.9983, -0.9983, ..., -0.9986, -0.9986, -0.9986]], [[-0.9983, -0.9983, -0.9983, ..., -0.9986, -0.9986, -0.9986], [-0.9984, -0.9984, -0.9984, ..., -0.9986, -0.9986, -0.9986], [-0.9984, -0.9984, -0.9984, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9973, -0.9974, -0.9975, ..., -0.9986, -0.9986, -0.9986], [-0.9977, -0.9978, -0.9978, ..., -0.9986, -0.9986, -0.9986], [-0.9982, -0.9983, -0.9983, ..., -0.9986, -0.9986, -0.9986]]]) [/INST]Low lung volumes bilaterally with central bronchovascular crowding without focal consolidation, pleural effusion, or pneumothoraces.. Cardiomediastinal silhouette is within normal limits. Degenerative changes of the thoracic spine..</s>
<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9996], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9996], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9996], ..., [-0.9992, -0.9988, -0.9984, ..., -0.9925, -0.9922, -0.9925], [-0.9978, -0.9974, -0.9970, ..., -0.9922, -0.9922, -0.9925], [-0.9958, -0.9955, -0.9952, ..., -0.9922, -0.9922, -0.9925]], [[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9996], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9996], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9996], ..., [-0.9992, -0.9988, -0.9984, ..., -0.9925, -0.9922, -0.9925], [-0.9978, -0.9974, -0.9970, ..., -0.9922, -0.9922, -0.9925], [-0.9958, -0.9955, -0.9952, ..., -0.9922, -0.9922, -0.9925]], [[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9996], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9996], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9996], ..., [-0.9992, -0.9988, -0.9984, ..., -0.9925, -0.9922, -0.9925], [-0.9978, -0.9974, -0.9970, ..., -0.9922, -0.9922, -0.9925], [-0.9958, -0.9955, -0.9952, ..., -0.9922, -0.9922, -0.9925]]]) [/INST]Heart size and vascularity normal. Lungs are clear. No effusions. No pneumothorax. Visualized osseous structures unremarkable.</s>
<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9971, -0.9971], [-1.0000, -1.0000, -1.0000, ..., -0.9954, -0.9955, -0.9955], [-0.9999, -1.0000, -1.0000, ..., -0.9937, -0.9938, -0.9938]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9971, -0.9971], [-1.0000, -1.0000, -1.0000, ..., -0.9954, -0.9955, -0.9955], [-0.9999, -1.0000, -1.0000, ..., -0.9937, -0.9938, -0.9938]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9971, -0.9971], [-1.0000, -1.0000, -1.0000, ..., -0.9954, -0.9955, -0.9955], [-0.9999, -1.0000, -1.0000, ..., -0.9937, -0.9938, -0.9938]]]) [/INST]Heart size and vascularity normal. Lungs are clear. No effusions. No pneumothorax. Visualized osseous structures unremarkable.</s>
<s>[INST] tensor([[[-0.9996, -0.9995, -0.9990, ..., -0.9996, -0.9996, -0.9995], [-0.9995, -0.9989, -0.9985, ..., -0.9996, -0.9996, -0.9996], [-0.9989, -0.9985, -0.9982, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9946, -0.9942, -0.9943], [-0.9994, -0.9994, -0.9994, ..., -0.9944, -0.9940, -0.9943], [-0.9994, -0.9994, -0.9994, ..., -0.9943, -0.9942, -0.9945]], [[-0.9996, -0.9995, -0.9990, ..., -0.9996, -0.9996, -0.9995], [-0.9995, -0.9989, -0.9985, ..., -0.9996, -0.9996, -0.9996], [-0.9989, -0.9985, -0.9982, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9946, -0.9942, -0.9943], [-0.9994, -0.9994, -0.9994, ..., -0.9944, -0.9940, -0.9943], [-0.9994, -0.9994, -0.9994, ..., -0.9943, -0.9942, -0.9945]], [[-0.9996, -0.9995, -0.9990, ..., -0.9996, -0.9996, -0.9995], [-0.9995, -0.9989, -0.9985, ..., -0.9996, -0.9996, -0.9996], [-0.9989, -0.9985, -0.9982, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9946, -0.9942, -0.9943], [-0.9994, -0.9994, -0.9994, ..., -0.9944, -0.9940, -0.9943], [-0.9994, -0.9994, -0.9994, ..., -0.9943, -0.9942, -0.9945]]]) [/INST]Mild cardiomegaly. Tortuous aorta. No focal infiltrate. No pneumothorax or large pleural effusion. Soft tissue density identified in the medial right apex which is asymmetric compared to left.</s>
<s>[INST] tensor([[[-0.9952, -0.9959, -0.9977, ..., -0.9959, -0.9956, -0.9958], [-0.9955, -0.9962, -0.9980, ..., -0.9978, -0.9976, -0.9978], [-0.9960, -0.9967, -0.9983, ..., -0.9981, -0.9983, -0.9983], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9989, -0.9987, -0.9984], [-0.9922, -0.9922, -0.9922, ..., -0.9987, -0.9986, -0.9982], [-0.9922, -0.9922, -0.9922, ..., -0.9985, -0.9983, -0.9980]], [[-0.9952, -0.9959, -0.9977, ..., -0.9959, -0.9956, -0.9958], [-0.9955, -0.9962, -0.9980, ..., -0.9978, -0.9976, -0.9978], [-0.9960, -0.9967, -0.9983, ..., -0.9981, -0.9983, -0.9983], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9989, -0.9987, -0.9984], [-0.9922, -0.9922, -0.9922, ..., -0.9987, -0.9986, -0.9982], [-0.9922, -0.9922, -0.9922, ..., -0.9985, -0.9983, -0.9980]], [[-0.9952, -0.9959, -0.9977, ..., -0.9959, -0.9956, -0.9958], [-0.9955, -0.9962, -0.9980, ..., -0.9978, -0.9976, -0.9978], [-0.9960, -0.9967, -0.9983, ..., -0.9981, -0.9983, -0.9983], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9989, -0.9987, -0.9984], [-0.9922, -0.9922, -0.9922, ..., -0.9987, -0.9986, -0.9982], [-0.9922, -0.9922, -0.9922, ..., -0.9985, -0.9983, -0.9980]]]) [/INST]Mild cardiomegaly. Tortuous aorta. No focal infiltrate. No pneumothorax or large pleural effusion. Soft tissue density identified in the medial right apex which is asymmetric compared to left.</s>
<s>[INST] tensor([[[-0.9922, -0.9922, -0.9923, ..., -0.9960, -0.9934, -0.9926], [-0.9926, -0.9927, -0.9928, ..., -0.9962, -0.9937, -0.9928], [-0.9952, -0.9954, -0.9955, ..., -0.9962, -0.9938, -0.9930], ..., [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9975, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9975, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9975, -0.9976]], [[-0.9922, -0.9922, -0.9923, ..., -0.9960, -0.9934, -0.9926], [-0.9926, -0.9927, -0.9928, ..., -0.9962, -0.9937, -0.9928], [-0.9952, -0.9954, -0.9955, ..., -0.9962, -0.9938, -0.9930], ..., [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9975, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9975, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9975, -0.9976]], [[-0.9922, -0.9922, -0.9923, ..., -0.9960, -0.9934, -0.9926], [-0.9926, -0.9927, -0.9928, ..., -0.9962, -0.9937, -0.9928], [-0.9952, -0.9954, -0.9955, ..., -0.9962, -0.9938, -0.9930], ..., [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9975, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9975, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9975, -0.9976]]]) [/INST]The heart is normal in size. The mediastinum is stable. XXXX sternotomy changes are again noted. The lungs are clear of focal infiltrates. There is no pleural effusion.</s>
<s>[INST] tensor([[[-0.9934, -0.9935, -0.9936, ..., -0.9981, -0.9974, -0.9973], [-0.9936, -0.9938, -0.9938, ..., -0.9981, -0.9976, -0.9974], [-0.9944, -0.9945, -0.9945, ..., -0.9982, -0.9977, -0.9976], ..., [-0.9982, -0.9982, -0.9982, ..., -0.9982, -0.9982, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9982, -0.9982, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9982, -0.9982, -0.9983]], [[-0.9934, -0.9935, -0.9936, ..., -0.9981, -0.9974, -0.9973], [-0.9936, -0.9938, -0.9938, ..., -0.9981, -0.9976, -0.9974], [-0.9944, -0.9945, -0.9945, ..., -0.9982, -0.9977, -0.9976], ..., [-0.9982, -0.9982, -0.9982, ..., -0.9982, -0.9982, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9982, -0.9982, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9982, -0.9982, -0.9983]], [[-0.9934, -0.9935, -0.9936, ..., -0.9981, -0.9974, -0.9973], [-0.9936, -0.9938, -0.9938, ..., -0.9981, -0.9976, -0.9974], [-0.9944, -0.9945, -0.9945, ..., -0.9982, -0.9977, -0.9976], ..., [-0.9982, -0.9982, -0.9982, ..., -0.9982, -0.9982, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9982, -0.9982, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9982, -0.9982, -0.9983]]]) [/INST]The heart is normal in size. The mediastinum is stable. XXXX sternotomy changes are again noted. The lungs are clear of focal infiltrates. There is no pleural effusion.</s>
<s>[INST] tensor([[[-0.9991, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9992], [-0.9992, -0.9994, -0.9994, ..., -0.9996, -0.9995, -0.9992], [-0.9993, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9993], ..., [-0.9991, -0.9992, -0.9992, ..., -0.9966, -0.9968, -0.9970], [-0.9991, -0.9992, -0.9992, ..., -0.9965, -0.9966, -0.9968], [-0.9980, -0.9981, -0.9981, ..., -0.9952, -0.9953, -0.9954]], [[-0.9991, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9992], [-0.9992, -0.9994, -0.9994, ..., -0.9996, -0.9995, -0.9992], [-0.9993, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9993], ..., [-0.9991, -0.9992, -0.9992, ..., -0.9966, -0.9968, -0.9970], [-0.9991, -0.9992, -0.9992, ..., -0.9965, -0.9966, -0.9968], [-0.9980, -0.9981, -0.9981, ..., -0.9952, -0.9953, -0.9954]], [[-0.9991, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9992], [-0.9992, -0.9994, -0.9994, ..., -0.9996, -0.9995, -0.9992], [-0.9993, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9993], ..., [-0.9991, -0.9992, -0.9992, ..., -0.9966, -0.9968, -0.9970], [-0.9991, -0.9992, -0.9992, ..., -0.9965, -0.9966, -0.9968], [-0.9980, -0.9981, -0.9981, ..., -0.9952, -0.9953, -0.9954]]]) [/INST]Vague increased opacity which appears to be within the left lower lobe. Question of this could be developing or resolving pneumonia. Lungs are otherwise clear. No pleural effusions or pneumothoraces. heart and mediastinum are stable normal size heart. Atherosclerotic vascular disease. Degenerative changes in the thoracic spine.</s>
<s>[INST] tensor([[[-0.9997, -0.9997, -0.9997, ..., -0.9978, -0.9975, -0.9985], [-0.9988, -0.9988, -0.9989, ..., -0.9986, -0.9982, -0.9988], [-0.9990, -0.9991, -0.9991, ..., -0.9991, -0.9987, -0.9991], ..., [-0.9942, -0.9945, -0.9945, ..., -0.9981, -0.9978, -0.9982], [-0.9929, -0.9931, -0.9931, ..., -0.9995, -0.9994, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9999, -0.9999, -0.9999]], [[-0.9997, -0.9997, -0.9997, ..., -0.9978, -0.9975, -0.9985], [-0.9988, -0.9988, -0.9989, ..., -0.9986, -0.9982, -0.9988], [-0.9990, -0.9991, -0.9991, ..., -0.9991, -0.9987, -0.9991], ..., [-0.9942, -0.9945, -0.9945, ..., -0.9981, -0.9978, -0.9982], [-0.9929, -0.9931, -0.9931, ..., -0.9995, -0.9994, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9999, -0.9999, -0.9999]], [[-0.9997, -0.9997, -0.9997, ..., -0.9978, -0.9975, -0.9985], [-0.9988, -0.9988, -0.9989, ..., -0.9986, -0.9982, -0.9988], [-0.9990, -0.9991, -0.9991, ..., -0.9991, -0.9987, -0.9991], ..., [-0.9942, -0.9945, -0.9945, ..., -0.9981, -0.9978, -0.9982], [-0.9929, -0.9931, -0.9931, ..., -0.9995, -0.9994, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9999, -0.9999, -0.9999]]]) [/INST]Heart size and mediastinal contour within normal limits. Calcified granuloma in the left lung base. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.</s>
<s>[INST] tensor([[[-0.9998, -0.9989, -0.9987, ..., -0.9993, -0.9992, -0.9995], [-0.9997, -0.9978, -0.9974, ..., -0.9996, -0.9995, -0.9997], [-0.9997, -0.9983, -0.9981, ..., -0.9997, -0.9996, -0.9997], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9997], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9997], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9997]], [[-0.9998, -0.9989, -0.9987, ..., -0.9993, -0.9992, -0.9995], [-0.9997, -0.9978, -0.9974, ..., -0.9996, -0.9995, -0.9997], [-0.9997, -0.9983, -0.9981, ..., -0.9997, -0.9996, -0.9997], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9997], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9997], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9997]], [[-0.9998, -0.9989, -0.9987, ..., -0.9993, -0.9992, -0.9995], [-0.9997, -0.9978, -0.9974, ..., -0.9996, -0.9995, -0.9997], [-0.9997, -0.9983, -0.9981, ..., -0.9997, -0.9996, -0.9997], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9997], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9997], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9997]]]) [/INST]Heart size and mediastinal contour within normal limits. Calcified granuloma in the left lung base. No focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality.</s>
<s>[INST] tensor([[[-0.9962, -0.9960, -0.9956, ..., -0.9958, -0.9955, -0.9952], [-0.9956, -0.9953, -0.9951, ..., -0.9958, -0.9955, -0.9951], [-0.9953, -0.9952, -0.9950, ..., -0.9959, -0.9955, -0.9951], ..., [-0.9954, -0.9957, -0.9959, ..., -0.9957, -0.9954, -0.9950], [-0.9954, -0.9956, -0.9958, ..., -0.9957, -0.9953, -0.9949], [-0.9954, -0.9956, -0.9958, ..., -0.9957, -0.9953, -0.9949]], [[-0.9962, -0.9960, -0.9956, ..., -0.9958, -0.9955, -0.9952], [-0.9956, -0.9953, -0.9951, ..., -0.9958, -0.9955, -0.9951], [-0.9953, -0.9952, -0.9950, ..., -0.9959, -0.9955, -0.9951], ..., [-0.9954, -0.9957, -0.9959, ..., -0.9957, -0.9954, -0.9950], [-0.9954, -0.9956, -0.9958, ..., -0.9957, -0.9953, -0.9949], [-0.9954, -0.9956, -0.9958, ..., -0.9957, -0.9953, -0.9949]], [[-0.9962, -0.9960, -0.9956, ..., -0.9958, -0.9955, -0.9952], [-0.9956, -0.9953, -0.9951, ..., -0.9958, -0.9955, -0.9951], [-0.9953, -0.9952, -0.9950, ..., -0.9959, -0.9955, -0.9951], ..., [-0.9954, -0.9957, -0.9959, ..., -0.9957, -0.9954, -0.9950], [-0.9954, -0.9956, -0.9958, ..., -0.9957, -0.9953, -0.9949], [-0.9954, -0.9956, -0.9958, ..., -0.9957, -0.9953, -0.9949]]]) [/INST]Sequelae of old granulomatous disease. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. Prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. This appearance is overall not significantly XXXX. No pleural effusions or pneumothoraces. heart and mediastinum are stable with atherosclerotic vascular disease. Degenerative changes in the thoracic spine.</s>
<s>[INST] tensor([[[-0.9987, -0.9982, -0.9981, ..., -0.9968, -0.9962, -0.9971], [-0.9988, -0.9983, -0.9982, ..., -0.9967, -0.9960, -0.9970], [-0.9988, -0.9985, -0.9984, ..., -0.9968, -0.9961, -0.9970], ..., [-0.9989, -0.9989, -0.9989, ..., -0.9979, -0.9975, -0.9971], [-0.9989, -0.9989, -0.9989, ..., -0.9979, -0.9975, -0.9971], [-0.9989, -0.9989, -0.9989, ..., -0.9979, -0.9975, -0.9971]], [[-0.9987, -0.9982, -0.9981, ..., -0.9968, -0.9962, -0.9971], [-0.9988, -0.9983, -0.9982, ..., -0.9967, -0.9960, -0.9970], [-0.9988, -0.9985, -0.9984, ..., -0.9968, -0.9961, -0.9970], ..., [-0.9989, -0.9989, -0.9989, ..., -0.9979, -0.9975, -0.9971], [-0.9989, -0.9989, -0.9989, ..., -0.9979, -0.9975, -0.9971], [-0.9989, -0.9989, -0.9989, ..., -0.9979, -0.9975, -0.9971]], [[-0.9987, -0.9982, -0.9981, ..., -0.9968, -0.9962, -0.9971], [-0.9988, -0.9983, -0.9982, ..., -0.9967, -0.9960, -0.9970], [-0.9988, -0.9985, -0.9984, ..., -0.9968, -0.9961, -0.9970], ..., [-0.9989, -0.9989, -0.9989, ..., -0.9979, -0.9975, -0.9971], [-0.9989, -0.9989, -0.9989, ..., -0.9979, -0.9975, -0.9971], [-0.9989, -0.9989, -0.9989, ..., -0.9979, -0.9975, -0.9971]]]) [/INST]Sequelae of old granulomatous disease. Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. Prominent interstitial markings are again noted which are predominantly lower lobe and peripheral suggesting pulmonary fibrosis. This appearance is overall not significantly XXXX. No pleural effusions or pneumothoraces. heart and mediastinum are stable with atherosclerotic vascular disease. Degenerative changes in the thoracic spine.</s>
<s>[INST] tensor([[[-0.9975, -0.9976, -0.9976, ..., -0.9990, -0.9984, -0.9976], [-0.9975, -0.9976, -0.9976, ..., -0.9990, -0.9984, -0.9976], [-0.9975, -0.9976, -0.9977, ..., -0.9990, -0.9984, -0.9975], ..., [-0.9943, -0.9944, -0.9945, ..., -0.9943, -0.9939, -0.9936], [-0.9940, -0.9941, -0.9942, ..., -0.9942, -0.9938, -0.9933], [-0.9937, -0.9938, -0.9939, ..., -0.9938, -0.9935, -0.9930]], [[-0.9975, -0.9976, -0.9976, ..., -0.9990, -0.9984, -0.9976], [-0.9975, -0.9976, -0.9976, ..., -0.9990, -0.9984, -0.9976], [-0.9975, -0.9976, -0.9977, ..., -0.9990, -0.9984, -0.9975], ..., [-0.9943, -0.9944, -0.9945, ..., -0.9943, -0.9939, -0.9936], [-0.9940, -0.9941, -0.9942, ..., -0.9942, -0.9938, -0.9933], [-0.9937, -0.9938, -0.9939, ..., -0.9938, -0.9935, -0.9930]], [[-0.9975, -0.9976, -0.9976, ..., -0.9990, -0.9984, -0.9976], [-0.9975, -0.9976, -0.9976, ..., -0.9990, -0.9984, -0.9976], [-0.9975, -0.9976, -0.9977, ..., -0.9990, -0.9984, -0.9975], ..., [-0.9943, -0.9944, -0.9945, ..., -0.9943, -0.9939, -0.9936], [-0.9940, -0.9941, -0.9942, ..., -0.9942, -0.9938, -0.9933], [-0.9937, -0.9938, -0.9939, ..., -0.9938, -0.9935, -0.9930]]]) [/INST]The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..</s>
<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9994, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9994, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9993, -0.9992], [-0.9993, -0.9993, -0.9993, ..., -0.9971, -0.9966, -0.9960]], [[-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9994, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9994, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9993, -0.9992], [-0.9993, -0.9993, -0.9993, ..., -0.9971, -0.9966, -0.9960]], [[-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9994, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9994, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9994, -0.9993, -0.9992], [-0.9993, -0.9993, -0.9993, ..., -0.9971, -0.9966, -0.9960]]]) [/INST]The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are within normal limits for patient age..</s>
<s>[INST] tensor([[[-0.9998, -0.9998, -0.9996, ..., -0.9967, -0.9966, -0.9966], [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9970, -0.9970], [-1.0000, -1.0000, -1.0000, ..., -0.9975, -0.9974, -0.9974], ..., [-0.9989, -0.9983, -0.9979, ..., -0.9986, -0.9986, -0.9987], [-0.9987, -0.9982, -0.9978, ..., -0.9986, -0.9986, -0.9987], [-0.9986, -0.9981, -0.9978, ..., -0.9985, -0.9986, -0.9986]], [[-0.9998, -0.9998, -0.9996, ..., -0.9967, -0.9966, -0.9966], [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9970, -0.9970], [-1.0000, -1.0000, -1.0000, ..., -0.9975, -0.9974, -0.9974], ..., [-0.9989, -0.9983, -0.9979, ..., -0.9986, -0.9986, -0.9987], [-0.9987, -0.9982, -0.9978, ..., -0.9986, -0.9986, -0.9987], [-0.9986, -0.9981, -0.9978, ..., -0.9985, -0.9986, -0.9986]], [[-0.9998, -0.9998, -0.9996, ..., -0.9967, -0.9966, -0.9966], [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9970, -0.9970], [-1.0000, -1.0000, -1.0000, ..., -0.9975, -0.9974, -0.9974], ..., [-0.9989, -0.9983, -0.9979, ..., -0.9986, -0.9986, -0.9987], [-0.9987, -0.9982, -0.9978, ..., -0.9986, -0.9986, -0.9987], [-0.9986, -0.9981, -0.9978, ..., -0.9985, -0.9986, -0.9986]]]) [/INST]The lungs are clear. Heart size is normal. No pneumothorax. There is a left chest XXXX with tip projecting over the lower SVC. There is XXXX deformity within the midthoracic spine.</s>
<s>[INST] tensor([[[-0.9972, -0.9984, -0.9992, ..., -0.9945, -0.9944, -0.9945], [-0.9976, -0.9987, -0.9995, ..., -0.9982, -0.9982, -0.9983], [-0.9977, -0.9988, -0.9995, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9997, -0.9998, -0.9999, ..., -1.0000, -1.0000, -0.9999], [-0.9995, -0.9997, -0.9997, ..., -1.0000, -1.0000, -0.9999], [-0.9993, -0.9994, -0.9994, ..., -1.0000, -0.9999, -0.9998]], [[-0.9972, -0.9984, -0.9992, ..., -0.9945, -0.9944, -0.9945], [-0.9976, -0.9987, -0.9995, ..., -0.9982, -0.9982, -0.9983], [-0.9977, -0.9988, -0.9995, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9997, -0.9998, -0.9999, ..., -1.0000, -1.0000, -0.9999], [-0.9995, -0.9997, -0.9997, ..., -1.0000, -1.0000, -0.9999], [-0.9993, -0.9994, -0.9994, ..., -1.0000, -0.9999, -0.9998]], [[-0.9972, -0.9984, -0.9992, ..., -0.9945, -0.9944, -0.9945], [-0.9976, -0.9987, -0.9995, ..., -0.9982, -0.9982, -0.9983], [-0.9977, -0.9988, -0.9995, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9997, -0.9998, -0.9999, ..., -1.0000, -1.0000, -0.9999], [-0.9995, -0.9997, -0.9997, ..., -1.0000, -1.0000, -0.9999], [-0.9993, -0.9994, -0.9994, ..., -1.0000, -0.9999, -0.9998]]]) [/INST]There is a calcified granuloma in the right midlung zone. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. Surgical clips are present in the right upper quadrant.</s>
<s>[INST] tensor([[[-0.9993, -0.9998, -1.0000, ..., -0.9975, -0.9975, -0.9975], [-0.9995, -0.9999, -1.0000, ..., -0.9998, -0.9998, -0.9998], [-0.9996, -0.9999, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9997, ..., -1.0000, -1.0000, -1.0000]], [[-0.9993, -0.9998, -1.0000, ..., -0.9975, -0.9975, -0.9975], [-0.9995, -0.9999, -1.0000, ..., -0.9998, -0.9998, -0.9998], [-0.9996, -0.9999, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9997, ..., -1.0000, -1.0000, -1.0000]], [[-0.9993, -0.9998, -1.0000, ..., -0.9975, -0.9975, -0.9975], [-0.9995, -0.9999, -1.0000, ..., -0.9998, -0.9998, -0.9998], [-0.9996, -0.9999, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9997, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]There is a calcified granuloma in the right midlung zone. Lungs are otherwise clear. There is no pleural effusion or pneumothorax. The heart and mediastinum are normal. The skeletal structures are normal. Surgical clips are present in the right upper quadrant.</s>
<s>[INST] tensor([[[-0.9974, -0.9975, -0.9975, ..., -0.9982, -0.9982, -0.9982], [-0.9974, -0.9974, -0.9974, ..., -0.9982, -0.9982, -0.9982], [-0.9974, -0.9974, -0.9975, ..., -0.9982, -0.9982, -0.9982], ..., [-0.9947, -0.9947, -0.9947, ..., -0.9951, -0.9951, -0.9950], [-0.9948, -0.9947, -0.9947, ..., -0.9950, -0.9949, -0.9949], [-0.9947, -0.9946, -0.9947, ..., -0.9947, -0.9947, -0.9947]], [[-0.9974, -0.9975, -0.9975, ..., -0.9982, -0.9982, -0.9982], [-0.9974, -0.9974, -0.9974, ..., -0.9982, -0.9982, -0.9982], [-0.9974, -0.9974, -0.9975, ..., -0.9982, -0.9982, -0.9982], ..., [-0.9947, -0.9947, -0.9947, ..., -0.9951, -0.9951, -0.9950], [-0.9948, -0.9947, -0.9947, ..., -0.9950, -0.9949, -0.9949], [-0.9947, -0.9946, -0.9947, ..., -0.9947, -0.9947, -0.9947]], [[-0.9974, -0.9975, -0.9975, ..., -0.9982, -0.9982, -0.9982], [-0.9974, -0.9974, -0.9974, ..., -0.9982, -0.9982, -0.9982], [-0.9974, -0.9974, -0.9975, ..., -0.9982, -0.9982, -0.9982], ..., [-0.9947, -0.9947, -0.9947, ..., -0.9951, -0.9951, -0.9950], [-0.9948, -0.9947, -0.9947, ..., -0.9950, -0.9949, -0.9949], [-0.9947, -0.9946, -0.9947, ..., -0.9947, -0.9947, -0.9947]]]) [/INST]The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion. Cardiomediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta. Visualized osseous structures of the thorax are without acute abnormality.</s>
<s>[INST] tensor([[[-0.9935, -0.9936, -0.9937, ..., -0.9932, -0.9922, -0.9924], [-0.9967, -0.9968, -0.9968, ..., -0.9954, -0.9930, -0.9925], [-0.9978, -0.9978, -0.9978, ..., -0.9966, -0.9940, -0.9927], ..., [-0.9978, -0.9978, -0.9979, ..., -0.9978, -0.9973, -0.9959], [-0.9978, -0.9978, -0.9979, ..., -0.9978, -0.9973, -0.9959], [-0.9978, -0.9978, -0.9979, ..., -0.9977, -0.9972, -0.9959]], [[-0.9935, -0.9936, -0.9937, ..., -0.9932, -0.9922, -0.9924], [-0.9967, -0.9968, -0.9968, ..., -0.9954, -0.9930, -0.9925], [-0.9978, -0.9978, -0.9978, ..., -0.9966, -0.9940, -0.9927], ..., [-0.9978, -0.9978, -0.9979, ..., -0.9978, -0.9973, -0.9959], [-0.9978, -0.9978, -0.9979, ..., -0.9978, -0.9973, -0.9959], [-0.9978, -0.9978, -0.9979, ..., -0.9977, -0.9972, -0.9959]], [[-0.9935, -0.9936, -0.9937, ..., -0.9932, -0.9922, -0.9924], [-0.9967, -0.9968, -0.9968, ..., -0.9954, -0.9930, -0.9925], [-0.9978, -0.9978, -0.9978, ..., -0.9966, -0.9940, -0.9927], ..., [-0.9978, -0.9978, -0.9979, ..., -0.9978, -0.9973, -0.9959], [-0.9978, -0.9978, -0.9979, ..., -0.9978, -0.9973, -0.9959], [-0.9978, -0.9978, -0.9979, ..., -0.9977, -0.9972, -0.9959]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>
<s>[INST] tensor([[[-0.9984, -0.9984, -0.9984, ..., -0.9983, -0.9971, -0.9963], [-0.9984, -0.9984, -0.9984, ..., -0.9984, -0.9976, -0.9966], [-0.9984, -0.9984, -0.9984, ..., -0.9984, -0.9978, -0.9969], ..., [-0.9943, -0.9942, -0.9941, ..., -0.9984, -0.9984, -0.9985], [-0.9944, -0.9942, -0.9941, ..., -0.9984, -0.9984, -0.9985], [-0.9944, -0.9943, -0.9941, ..., -0.9984, -0.9984, -0.9985]], [[-0.9984, -0.9984, -0.9984, ..., -0.9983, -0.9971, -0.9963], [-0.9984, -0.9984, -0.9984, ..., -0.9984, -0.9976, -0.9966], [-0.9984, -0.9984, -0.9984, ..., -0.9984, -0.9978, -0.9969], ..., [-0.9943, -0.9942, -0.9941, ..., -0.9984, -0.9984, -0.9985], [-0.9944, -0.9942, -0.9941, ..., -0.9984, -0.9984, -0.9985], [-0.9944, -0.9943, -0.9941, ..., -0.9984, -0.9984, -0.9985]], [[-0.9984, -0.9984, -0.9984, ..., -0.9983, -0.9971, -0.9963], [-0.9984, -0.9984, -0.9984, ..., -0.9984, -0.9976, -0.9966], [-0.9984, -0.9984, -0.9984, ..., -0.9984, -0.9978, -0.9969], ..., [-0.9943, -0.9942, -0.9941, ..., -0.9984, -0.9984, -0.9985], [-0.9944, -0.9942, -0.9941, ..., -0.9984, -0.9984, -0.9985], [-0.9944, -0.9943, -0.9941, ..., -0.9984, -0.9984, -0.9985]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>
<s>[INST] tensor([[[-0.9960, -0.9961, -0.9962, ..., -0.9957, -0.9952, -0.9953], [-0.9979, -0.9980, -0.9980, ..., -0.9972, -0.9958, -0.9956], [-0.9984, -0.9984, -0.9984, ..., -0.9982, -0.9967, -0.9959], ..., [-0.9934, -0.9934, -0.9934, ..., -0.9983, -0.9983, -0.9985], [-0.9935, -0.9935, -0.9934, ..., -0.9983, -0.9983, -0.9985], [-0.9935, -0.9934, -0.9934, ..., -0.9983, -0.9983, -0.9985]], [[-0.9960, -0.9961, -0.9962, ..., -0.9957, -0.9952, -0.9953], [-0.9979, -0.9980, -0.9980, ..., -0.9972, -0.9958, -0.9956], [-0.9984, -0.9984, -0.9984, ..., -0.9982, -0.9967, -0.9959], ..., [-0.9934, -0.9934, -0.9934, ..., -0.9983, -0.9983, -0.9985], [-0.9935, -0.9935, -0.9934, ..., -0.9983, -0.9983, -0.9985], [-0.9935, -0.9934, -0.9934, ..., -0.9983, -0.9983, -0.9985]], [[-0.9960, -0.9961, -0.9962, ..., -0.9957, -0.9952, -0.9953], [-0.9979, -0.9980, -0.9980, ..., -0.9972, -0.9958, -0.9956], [-0.9984, -0.9984, -0.9984, ..., -0.9982, -0.9967, -0.9959], ..., [-0.9934, -0.9934, -0.9934, ..., -0.9983, -0.9983, -0.9985], [-0.9935, -0.9935, -0.9934, ..., -0.9983, -0.9983, -0.9985], [-0.9935, -0.9934, -0.9934, ..., -0.9983, -0.9983, -0.9985]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>
<s>[INST] tensor([[[-1.0000, -1.0000, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9926, -0.9926, -0.9925, ..., -0.9927, -0.9928, -0.9948], [-0.9934, -0.9933, -0.9933, ..., -0.9923, -0.9924, -0.9945], [-0.9990, -0.9990, -0.9990, ..., -0.9945, -0.9945, -0.9960]], [[-1.0000, -1.0000, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9926, -0.9926, -0.9925, ..., -0.9927, -0.9928, -0.9948], [-0.9934, -0.9933, -0.9933, ..., -0.9923, -0.9924, -0.9945], [-0.9990, -0.9990, -0.9990, ..., -0.9945, -0.9945, -0.9960]], [[-1.0000, -1.0000, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9926, -0.9926, -0.9925, ..., -0.9927, -0.9928, -0.9948], [-0.9934, -0.9933, -0.9933, ..., -0.9923, -0.9924, -0.9945], [-0.9990, -0.9990, -0.9990, ..., -0.9945, -0.9945, -0.9960]]]) [/INST]Calcified granulomata are present in the right middle lobe and right upper lobe. These are unchanged since the previous examination. Both lungs are free of active infiltrates. Heart size normal.</s>
<s>[INST] tensor([[[-0.9946, -0.9948, -0.9952, ..., -0.9971, -0.9974, -0.9992], [-0.9948, -0.9950, -0.9953, ..., -0.9977, -0.9978, -0.9993], [-0.9948, -0.9950, -0.9954, ..., -0.9978, -0.9979, -0.9994], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995]], [[-0.9946, -0.9948, -0.9952, ..., -0.9971, -0.9974, -0.9992], [-0.9948, -0.9950, -0.9953, ..., -0.9977, -0.9978, -0.9993], [-0.9948, -0.9950, -0.9954, ..., -0.9978, -0.9979, -0.9994], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995]], [[-0.9946, -0.9948, -0.9952, ..., -0.9971, -0.9974, -0.9992], [-0.9948, -0.9950, -0.9953, ..., -0.9977, -0.9978, -0.9993], [-0.9948, -0.9950, -0.9954, ..., -0.9978, -0.9979, -0.9994], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995]]]) [/INST]The lungs are grossly clear without focal pneumonic consolidation, large effusion or pneumothorax. Heart size is within normal limits.</s>
<s>[INST] tensor([[[-0.9955, -0.9958, -0.9962, ..., -0.9983, -0.9992, -0.9998], [-0.9956, -0.9959, -0.9963, ..., -0.9987, -0.9994, -0.9998], [-0.9957, -0.9960, -0.9964, ..., -0.9988, -0.9994, -0.9998], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995]], [[-0.9955, -0.9958, -0.9962, ..., -0.9983, -0.9992, -0.9998], [-0.9956, -0.9959, -0.9963, ..., -0.9987, -0.9994, -0.9998], [-0.9957, -0.9960, -0.9964, ..., -0.9988, -0.9994, -0.9998], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995]], [[-0.9955, -0.9958, -0.9962, ..., -0.9983, -0.9992, -0.9998], [-0.9956, -0.9959, -0.9963, ..., -0.9987, -0.9994, -0.9998], [-0.9957, -0.9960, -0.9964, ..., -0.9988, -0.9994, -0.9998], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995]]]) [/INST]The lungs are grossly clear without focal pneumonic consolidation, large effusion or pneumothorax. Heart size is within normal limits.</s>
<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9991, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9991, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -0.9992, -0.9991, -1.0000], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9985, -0.9979, -0.9980], [-0.9990, -0.9990, -0.9990, ..., -0.9979, -0.9974, -0.9978], [-0.9989, -0.9990, -0.9990, ..., -0.9981, -0.9978, -0.9982]], [[-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9991, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9991, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -0.9992, -0.9991, -1.0000], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9985, -0.9979, -0.9980], [-0.9990, -0.9990, -0.9990, ..., -0.9979, -0.9974, -0.9978], [-0.9989, -0.9990, -0.9990, ..., -0.9981, -0.9978, -0.9982]], [[-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9991, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9991, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -0.9992, -0.9991, -1.0000], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9985, -0.9979, -0.9980], [-0.9990, -0.9990, -0.9990, ..., -0.9979, -0.9974, -0.9978], [-0.9989, -0.9990, -0.9990, ..., -0.9981, -0.9978, -0.9982]]]) [/INST]Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.</s>
<s>[INST] tensor([[[-0.9987, -0.9989, -0.9991, ..., -0.9998, -0.9996, -0.9995], [-0.9981, -0.9982, -0.9984, ..., -0.9998, -0.9996, -0.9995], [-0.9980, -0.9980, -0.9981, ..., -0.9998, -0.9996, -0.9995], ..., [-0.9997, -0.9997, -0.9998, ..., -0.9998, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9996, ..., -1.0000, -0.9999, -1.0000], [-0.9994, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000]], [[-0.9987, -0.9989, -0.9991, ..., -0.9998, -0.9996, -0.9995], [-0.9981, -0.9982, -0.9984, ..., -0.9998, -0.9996, -0.9995], [-0.9980, -0.9980, -0.9981, ..., -0.9998, -0.9996, -0.9995], ..., [-0.9997, -0.9997, -0.9998, ..., -0.9998, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9996, ..., -1.0000, -0.9999, -1.0000], [-0.9994, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000]], [[-0.9987, -0.9989, -0.9991, ..., -0.9998, -0.9996, -0.9995], [-0.9981, -0.9982, -0.9984, ..., -0.9998, -0.9996, -0.9995], [-0.9980, -0.9980, -0.9981, ..., -0.9998, -0.9996, -0.9995], ..., [-0.9997, -0.9997, -0.9998, ..., -0.9998, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9996, ..., -1.0000, -0.9999, -1.0000], [-0.9994, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.</s>
<s>[INST] tensor([[[-0.9980, -0.9988, -0.9993, ..., -0.9997, -0.9997, -0.9995], [-0.9980, -0.9990, -0.9995, ..., -0.9997, -0.9997, -0.9996], [-0.9981, -0.9990, -0.9996, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9927, -0.9928, -0.9934, ..., -0.9925, -0.9924, -0.9927], [-0.9926, -0.9926, -0.9925, ..., -0.9922, -0.9922, -0.9925], [-0.9925, -0.9924, -0.9924, ..., -0.9922, -0.9922, -0.9925]], [[-0.9980, -0.9988, -0.9993, ..., -0.9997, -0.9997, -0.9995], [-0.9980, -0.9990, -0.9995, ..., -0.9997, -0.9997, -0.9996], [-0.9981, -0.9990, -0.9996, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9927, -0.9928, -0.9934, ..., -0.9925, -0.9924, -0.9927], [-0.9926, -0.9926, -0.9925, ..., -0.9922, -0.9922, -0.9925], [-0.9925, -0.9924, -0.9924, ..., -0.9922, -0.9922, -0.9925]], [[-0.9980, -0.9988, -0.9993, ..., -0.9997, -0.9997, -0.9995], [-0.9980, -0.9990, -0.9995, ..., -0.9997, -0.9997, -0.9996], [-0.9981, -0.9990, -0.9996, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9927, -0.9928, -0.9934, ..., -0.9925, -0.9924, -0.9927], [-0.9926, -0.9926, -0.9925, ..., -0.9922, -0.9922, -0.9925], [-0.9925, -0.9924, -0.9924, ..., -0.9922, -0.9922, -0.9925]]]) [/INST]Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.</s>
<s>[INST] tensor([[[-0.9999, -1.0000, -1.0000, ..., -0.9996, -0.9982, -0.9974], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9983, -0.9976], [-0.9999, -1.0000, -1.0000, ..., -0.9997, -0.9984, -0.9977], ..., [-0.9963, -0.9960, -0.9956, ..., -0.9931, -0.9931, -0.9931], [-0.9956, -0.9952, -0.9948, ..., -0.9930, -0.9930, -0.9930], [-0.9953, -0.9948, -0.9945, ..., -0.9929, -0.9929, -0.9929]], [[-0.9999, -1.0000, -1.0000, ..., -0.9996, -0.9982, -0.9974], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9983, -0.9976], [-0.9999, -1.0000, -1.0000, ..., -0.9997, -0.9984, -0.9977], ..., [-0.9963, -0.9960, -0.9956, ..., -0.9931, -0.9931, -0.9931], [-0.9956, -0.9952, -0.9948, ..., -0.9930, -0.9930, -0.9930], [-0.9953, -0.9948, -0.9945, ..., -0.9929, -0.9929, -0.9929]], [[-0.9999, -1.0000, -1.0000, ..., -0.9996, -0.9982, -0.9974], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9983, -0.9976], [-0.9999, -1.0000, -1.0000, ..., -0.9997, -0.9984, -0.9977], ..., [-0.9963, -0.9960, -0.9956, ..., -0.9931, -0.9931, -0.9931], [-0.9956, -0.9952, -0.9948, ..., -0.9930, -0.9930, -0.9930], [-0.9953, -0.9948, -0.9945, ..., -0.9929, -0.9929, -0.9929]]]) [/INST]Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.</s>
<s>[INST] tensor([[[-0.9968, -0.9973, -0.9986, ..., -0.9985, -0.9985, -0.9985], [-0.9970, -0.9974, -0.9989, ..., -0.9989, -0.9989, -0.9989], [-0.9971, -0.9975, -0.9990, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9953, -0.9955, -0.9955, ..., -0.9970, -0.9971, -0.9971], [-0.9953, -0.9954, -0.9955, ..., -0.9968, -0.9971, -0.9970], [-0.9950, -0.9950, -0.9950, ..., -0.9966, -0.9970, -0.9970]], [[-0.9968, -0.9973, -0.9986, ..., -0.9985, -0.9985, -0.9985], [-0.9970, -0.9974, -0.9989, ..., -0.9989, -0.9989, -0.9989], [-0.9971, -0.9975, -0.9990, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9953, -0.9955, -0.9955, ..., -0.9970, -0.9971, -0.9971], [-0.9953, -0.9954, -0.9955, ..., -0.9968, -0.9971, -0.9970], [-0.9950, -0.9950, -0.9950, ..., -0.9966, -0.9970, -0.9970]], [[-0.9968, -0.9973, -0.9986, ..., -0.9985, -0.9985, -0.9985], [-0.9970, -0.9974, -0.9989, ..., -0.9989, -0.9989, -0.9989], [-0.9971, -0.9975, -0.9990, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9953, -0.9955, -0.9955, ..., -0.9970, -0.9971, -0.9971], [-0.9953, -0.9954, -0.9955, ..., -0.9968, -0.9971, -0.9970], [-0.9950, -0.9950, -0.9950, ..., -0.9966, -0.9970, -0.9970]]]) [/INST]The cardiac silhouette is mildly enlarged. A lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. No pneumothorax or pleural effusion. Severe degenerative changes of the thoracic spine.</s>
<s>[INST] tensor([[[-0.9995, -0.9995, -0.9995, ..., -0.9978, -0.9978, -0.9978], [-0.9995, -0.9995, -0.9995, ..., -0.9981, -0.9981, -0.9981], [-0.9995, -0.9995, -0.9995, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9975, -0.9978, -0.9980], [-0.9995, -0.9995, -0.9995, ..., -0.9972, -0.9975, -0.9977], [-0.9995, -0.9995, -0.9995, ..., -0.9970, -0.9972, -0.9974]], [[-0.9995, -0.9995, -0.9995, ..., -0.9978, -0.9978, -0.9978], [-0.9995, -0.9995, -0.9995, ..., -0.9981, -0.9981, -0.9981], [-0.9995, -0.9995, -0.9995, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9975, -0.9978, -0.9980], [-0.9995, -0.9995, -0.9995, ..., -0.9972, -0.9975, -0.9977], [-0.9995, -0.9995, -0.9995, ..., -0.9970, -0.9972, -0.9974]], [[-0.9995, -0.9995, -0.9995, ..., -0.9978, -0.9978, -0.9978], [-0.9995, -0.9995, -0.9995, ..., -0.9981, -0.9981, -0.9981], [-0.9995, -0.9995, -0.9995, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9975, -0.9978, -0.9980], [-0.9995, -0.9995, -0.9995, ..., -0.9972, -0.9975, -0.9977], [-0.9995, -0.9995, -0.9995, ..., -0.9970, -0.9972, -0.9974]]]) [/INST]The cardiac silhouette is mildly enlarged. A lobulated opacity is identified superior to the heart, in the anterior mediastinum on the lateral view, possibly consistent with a tortuous/ectatic thoracic aorta versus an anterior mediastinal mass. The thoracic aorta is tortuous and calcified. No focal areas of pulmonary consolidation. The lungs are hyperexpanded with flattening of the bilateral hemidiaphragms. No pneumothorax or pleural effusion. Severe degenerative changes of the thoracic spine.</s>
<s>[INST] tensor([[[-0.9979, -0.9979, -0.9978, ..., -0.9974, -0.9974, -0.9975], [-0.9978, -0.9978, -0.9978, ..., -0.9974, -0.9975, -0.9976], [-0.9977, -0.9977, -0.9976, ..., -0.9975, -0.9976, -0.9976], ..., [-0.9956, -0.9952, -0.9948, ..., -0.9975, -0.9974, -0.9972], [-0.9955, -0.9953, -0.9948, ..., -0.9975, -0.9974, -0.9972], [-0.9954, -0.9952, -0.9947, ..., -0.9975, -0.9974, -0.9972]], [[-0.9979, -0.9979, -0.9978, ..., -0.9974, -0.9974, -0.9975], [-0.9978, -0.9978, -0.9978, ..., -0.9974, -0.9975, -0.9976], [-0.9977, -0.9977, -0.9976, ..., -0.9975, -0.9976, -0.9976], ..., [-0.9956, -0.9952, -0.9948, ..., -0.9975, -0.9974, -0.9972], [-0.9955, -0.9953, -0.9948, ..., -0.9975, -0.9974, -0.9972], [-0.9954, -0.9952, -0.9947, ..., -0.9975, -0.9974, -0.9972]], [[-0.9979, -0.9979, -0.9978, ..., -0.9974, -0.9974, -0.9975], [-0.9978, -0.9978, -0.9978, ..., -0.9974, -0.9975, -0.9976], [-0.9977, -0.9977, -0.9976, ..., -0.9975, -0.9976, -0.9976], ..., [-0.9956, -0.9952, -0.9948, ..., -0.9975, -0.9974, -0.9972], [-0.9955, -0.9953, -0.9948, ..., -0.9975, -0.9974, -0.9972], [-0.9954, -0.9952, -0.9947, ..., -0.9975, -0.9974, -0.9972]]]) [/INST]Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.</s>
<s>[INST] tensor([[[-0.9975, -0.9975, -0.9975, ..., -0.9986, -0.9986, -0.9984], [-0.9975, -0.9974, -0.9975, ..., -0.9984, -0.9986, -0.9986], [-0.9971, -0.9971, -0.9971, ..., -0.9982, -0.9982, -0.9984], ..., [-0.9987, -0.9985, -0.9982, ..., -0.9981, -0.9980, -0.9979], [-0.9988, -0.9986, -0.9984, ..., -0.9981, -0.9979, -0.9979], [-0.9994, -0.9993, -0.9990, ..., -0.9983, -0.9981, -0.9980]], [[-0.9975, -0.9975, -0.9975, ..., -0.9986, -0.9986, -0.9984], [-0.9975, -0.9974, -0.9975, ..., -0.9984, -0.9986, -0.9986], [-0.9971, -0.9971, -0.9971, ..., -0.9982, -0.9982, -0.9984], ..., [-0.9987, -0.9985, -0.9982, ..., -0.9981, -0.9980, -0.9979], [-0.9988, -0.9986, -0.9984, ..., -0.9981, -0.9979, -0.9979], [-0.9994, -0.9993, -0.9990, ..., -0.9983, -0.9981, -0.9980]], [[-0.9975, -0.9975, -0.9975, ..., -0.9986, -0.9986, -0.9984], [-0.9975, -0.9974, -0.9975, ..., -0.9984, -0.9986, -0.9986], [-0.9971, -0.9971, -0.9971, ..., -0.9982, -0.9982, -0.9984], ..., [-0.9987, -0.9985, -0.9982, ..., -0.9981, -0.9980, -0.9979], [-0.9988, -0.9986, -0.9984, ..., -0.9981, -0.9979, -0.9979], [-0.9994, -0.9993, -0.9990, ..., -0.9983, -0.9981, -0.9980]]]) [/INST]Cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact.</s>
<s>[INST] tensor([[[-0.9989, -0.9990, -0.9992, ..., -0.9940, -0.9929, -0.9929], [-0.9993, -0.9994, -0.9994, ..., -0.9950, -0.9942, -0.9942], [-0.9994, -0.9994, -0.9994, ..., -0.9952, -0.9942, -0.9941], ..., [-0.9992, -0.9994, -0.9995, ..., -0.9985, -0.9976, -0.9965], [-0.9990, -0.9994, -0.9994, ..., -0.9984, -0.9976, -0.9964], [-0.9990, -0.9993, -0.9993, ..., -0.9983, -0.9974, -0.9962]], [[-0.9989, -0.9990, -0.9992, ..., -0.9940, -0.9929, -0.9929], [-0.9993, -0.9994, -0.9994, ..., -0.9950, -0.9942, -0.9942], [-0.9994, -0.9994, -0.9994, ..., -0.9952, -0.9942, -0.9941], ..., [-0.9992, -0.9994, -0.9995, ..., -0.9985, -0.9976, -0.9965], [-0.9990, -0.9994, -0.9994, ..., -0.9984, -0.9976, -0.9964], [-0.9990, -0.9993, -0.9993, ..., -0.9983, -0.9974, -0.9962]], [[-0.9989, -0.9990, -0.9992, ..., -0.9940, -0.9929, -0.9929], [-0.9993, -0.9994, -0.9994, ..., -0.9950, -0.9942, -0.9942], [-0.9994, -0.9994, -0.9994, ..., -0.9952, -0.9942, -0.9941], ..., [-0.9992, -0.9994, -0.9995, ..., -0.9985, -0.9976, -0.9965], [-0.9990, -0.9994, -0.9994, ..., -0.9984, -0.9976, -0.9964], [-0.9990, -0.9993, -0.9993, ..., -0.9983, -0.9974, -0.9962]]]) [/INST]Cardiomediastinal silhouette and pulmonary vasculature are stable and within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.</s>
<s>[INST] tensor([[[-0.9934, -0.9935, -0.9936, ..., -0.9996, -0.9994, -0.9985], [-0.9933, -0.9935, -0.9936, ..., -0.9996, -0.9994, -0.9986], [-0.9933, -0.9935, -0.9935, ..., -0.9996, -0.9995, -0.9986], ..., [-0.9976, -0.9974, -0.9971, ..., -0.9996, -0.9996, -0.9996], [-0.9976, -0.9974, -0.9972, ..., -0.9996, -0.9996, -0.9996], [-0.9980, -0.9978, -0.9976, ..., -0.9996, -0.9996, -0.9996]], [[-0.9934, -0.9935, -0.9936, ..., -0.9996, -0.9994, -0.9985], [-0.9933, -0.9935, -0.9936, ..., -0.9996, -0.9994, -0.9986], [-0.9933, -0.9935, -0.9935, ..., -0.9996, -0.9995, -0.9986], ..., [-0.9976, -0.9974, -0.9971, ..., -0.9996, -0.9996, -0.9996], [-0.9976, -0.9974, -0.9972, ..., -0.9996, -0.9996, -0.9996], [-0.9980, -0.9978, -0.9976, ..., -0.9996, -0.9996, -0.9996]], [[-0.9934, -0.9935, -0.9936, ..., -0.9996, -0.9994, -0.9985], [-0.9933, -0.9935, -0.9936, ..., -0.9996, -0.9994, -0.9986], [-0.9933, -0.9935, -0.9935, ..., -0.9996, -0.9995, -0.9986], ..., [-0.9976, -0.9974, -0.9971, ..., -0.9996, -0.9996, -0.9996], [-0.9976, -0.9974, -0.9972, ..., -0.9996, -0.9996, -0.9996], [-0.9980, -0.9978, -0.9976, ..., -0.9996, -0.9996, -0.9996]]]) [/INST]Cardiomediastinal silhouette and pulmonary vasculature are stable and within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.</s>
<s>[INST] tensor([[[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9992, -0.9990], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9993, -0.9990], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9994, -0.9992]], [[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9992, -0.9990], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9993, -0.9990], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9994, -0.9992]], [[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9992, -0.9990], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9993, -0.9990], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9994, -0.9992]]]) [/INST]The lungs are clear. No pleural effusion is seen. The heart is normal. Calcified right hilar and infracarinal lymph XXXX are seen. The skeletal structures are normal.</s>
<s>[INST] tensor([[[-0.9966, -0.9973, -0.9977, ..., -0.9999, -1.0000, -1.0000], [-0.9969, -0.9977, -0.9982, ..., -1.0000, -1.0000, -1.0000], [-0.9970, -0.9978, -0.9983, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9996, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9995, -0.9997, -0.9997, ..., -0.9999, -1.0000, -1.0000], [-0.9992, -0.9994, -0.9995, ..., -0.9999, -0.9999, -0.9999]], [[-0.9966, -0.9973, -0.9977, ..., -0.9999, -1.0000, -1.0000], [-0.9969, -0.9977, -0.9982, ..., -1.0000, -1.0000, -1.0000], [-0.9970, -0.9978, -0.9983, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9996, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9995, -0.9997, -0.9997, ..., -0.9999, -1.0000, -1.0000], [-0.9992, -0.9994, -0.9995, ..., -0.9999, -0.9999, -0.9999]], [[-0.9966, -0.9973, -0.9977, ..., -0.9999, -1.0000, -1.0000], [-0.9969, -0.9977, -0.9982, ..., -1.0000, -1.0000, -1.0000], [-0.9970, -0.9978, -0.9983, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9996, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9995, -0.9997, -0.9997, ..., -0.9999, -1.0000, -1.0000], [-0.9992, -0.9994, -0.9995, ..., -0.9999, -0.9999, -0.9999]]]) [/INST]The lungs are clear. No pleural effusion is seen. The heart is normal. Calcified right hilar and infracarinal lymph XXXX are seen. The skeletal structures are normal.</s>
<s>[INST] tensor([[[-0.9994, -0.9994, -0.9994, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9998, -0.9998, -0.9997], [-0.9996, -0.9997, -0.9997, ..., -0.9998, -0.9998, -0.9997], [-0.9996, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9997]], [[-0.9994, -0.9994, -0.9994, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9998, -0.9998, -0.9997], [-0.9996, -0.9997, -0.9997, ..., -0.9998, -0.9998, -0.9997], [-0.9996, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9997]], [[-0.9994, -0.9994, -0.9994, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9998, -0.9998, -0.9997], [-0.9996, -0.9997, -0.9997, ..., -0.9998, -0.9998, -0.9997], [-0.9996, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9997]]]) [/INST]Overall low lung volumes with mild patchy bibasilar airspace disease. This most XXXX represents atelectasis given the low lung volumes. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour.</s>
<s>[INST] tensor([[[-0.9982, -0.9988, -0.9992, ..., -0.9995, -0.9995, -0.9991], [-0.9983, -0.9989, -0.9993, ..., -0.9995, -0.9995, -0.9994], [-0.9984, -0.9990, -0.9993, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9933, -0.9934, -0.9933, ..., -0.9947, -0.9948, -0.9947], [-0.9933, -0.9933, -0.9932, ..., -0.9944, -0.9944, -0.9943], [-0.9935, -0.9935, -0.9934, ..., -0.9931, -0.9931, -0.9930]], [[-0.9982, -0.9988, -0.9992, ..., -0.9995, -0.9995, -0.9991], [-0.9983, -0.9989, -0.9993, ..., -0.9995, -0.9995, -0.9994], [-0.9984, -0.9990, -0.9993, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9933, -0.9934, -0.9933, ..., -0.9947, -0.9948, -0.9947], [-0.9933, -0.9933, -0.9932, ..., -0.9944, -0.9944, -0.9943], [-0.9935, -0.9935, -0.9934, ..., -0.9931, -0.9931, -0.9930]], [[-0.9982, -0.9988, -0.9992, ..., -0.9995, -0.9995, -0.9991], [-0.9983, -0.9989, -0.9993, ..., -0.9995, -0.9995, -0.9994], [-0.9984, -0.9990, -0.9993, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9933, -0.9934, -0.9933, ..., -0.9947, -0.9948, -0.9947], [-0.9933, -0.9933, -0.9932, ..., -0.9944, -0.9944, -0.9943], [-0.9935, -0.9935, -0.9934, ..., -0.9931, -0.9931, -0.9930]]]) [/INST]Right costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.</s>
<s>[INST] tensor([[[-0.9975, -0.9985, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9976, -0.9986, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9977, -0.9986, -0.9993, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9926, -0.9927, -0.9926, ..., -0.9945, -0.9946, -0.9946], [-0.9926, -0.9927, -0.9926, ..., -0.9945, -0.9945, -0.9946], [-0.9927, -0.9927, -0.9927, ..., -0.9933, -0.9933, -0.9933]], [[-0.9975, -0.9985, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9976, -0.9986, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9977, -0.9986, -0.9993, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9926, -0.9927, -0.9926, ..., -0.9945, -0.9946, -0.9946], [-0.9926, -0.9927, -0.9926, ..., -0.9945, -0.9945, -0.9946], [-0.9927, -0.9927, -0.9927, ..., -0.9933, -0.9933, -0.9933]], [[-0.9975, -0.9985, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9976, -0.9986, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9977, -0.9986, -0.9993, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9926, -0.9927, -0.9926, ..., -0.9945, -0.9946, -0.9946], [-0.9926, -0.9927, -0.9926, ..., -0.9945, -0.9945, -0.9946], [-0.9927, -0.9927, -0.9927, ..., -0.9933, -0.9933, -0.9933]]]) [/INST]Right costophrenic XXXX is blunted. In the left lower lobe a patchy infiltrate is present. The pulmonary XXXX are normal.</s>
<s>[INST] tensor([[[-0.9940, -0.9941, -0.9942, ..., -0.9934, -0.9932, -0.9933], [-0.9954, -0.9955, -0.9956, ..., -0.9938, -0.9936, -0.9938], [-0.9985, -0.9985, -0.9985, ..., -0.9950, -0.9944, -0.9941], ..., [-0.9981, -0.9976, -0.9973, ..., -0.9994, -0.9989, -0.9965], [-0.9982, -0.9977, -0.9973, ..., -0.9994, -0.9989, -0.9965], [-0.9983, -0.9977, -0.9972, ..., -0.9994, -0.9989, -0.9964]], [[-0.9940, -0.9941, -0.9942, ..., -0.9934, -0.9932, -0.9933], [-0.9954, -0.9955, -0.9956, ..., -0.9938, -0.9936, -0.9938], [-0.9985, -0.9985, -0.9985, ..., -0.9950, -0.9944, -0.9941], ..., [-0.9981, -0.9976, -0.9973, ..., -0.9994, -0.9989, -0.9965], [-0.9982, -0.9977, -0.9973, ..., -0.9994, -0.9989, -0.9965], [-0.9983, -0.9977, -0.9972, ..., -0.9994, -0.9989, -0.9964]], [[-0.9940, -0.9941, -0.9942, ..., -0.9934, -0.9932, -0.9933], [-0.9954, -0.9955, -0.9956, ..., -0.9938, -0.9936, -0.9938], [-0.9985, -0.9985, -0.9985, ..., -0.9950, -0.9944, -0.9941], ..., [-0.9981, -0.9976, -0.9973, ..., -0.9994, -0.9989, -0.9965], [-0.9982, -0.9977, -0.9973, ..., -0.9994, -0.9989, -0.9965], [-0.9983, -0.9977, -0.9972, ..., -0.9994, -0.9989, -0.9964]]]) [/INST]The lungs are clear. Heart and pulmonary XXXX appear normal. The pleural spaces are clear and mediastinal contours are normal. Nodular density overlying the anterior left 4th rib XXXX represents a healing rib fracture.</s>
<s>[INST] tensor([[[-0.9992, -0.9997, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9985, -0.9991, -0.9996, ..., -0.9999, -0.9999, -0.9999], [-0.9970, -0.9975, -0.9990, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9940, -0.9922, -0.9922, ..., -0.9992, -0.9995, -0.9996], [-0.9940, -0.9922, -0.9922, ..., -0.9994, -0.9996, -0.9998], [-0.9943, -0.9926, -0.9926, ..., -0.9996, -0.9998, -0.9998]], [[-0.9992, -0.9997, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9985, -0.9991, -0.9996, ..., -0.9999, -0.9999, -0.9999], [-0.9970, -0.9975, -0.9990, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9940, -0.9922, -0.9922, ..., -0.9992, -0.9995, -0.9996], [-0.9940, -0.9922, -0.9922, ..., -0.9994, -0.9996, -0.9998], [-0.9943, -0.9926, -0.9926, ..., -0.9996, -0.9998, -0.9998]], [[-0.9992, -0.9997, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9985, -0.9991, -0.9996, ..., -0.9999, -0.9999, -0.9999], [-0.9970, -0.9975, -0.9990, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9940, -0.9922, -0.9922, ..., -0.9992, -0.9995, -0.9996], [-0.9940, -0.9922, -0.9922, ..., -0.9994, -0.9996, -0.9998], [-0.9943, -0.9926, -0.9926, ..., -0.9996, -0.9998, -0.9998]]]) [/INST]Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.</s>
<s>[INST] tensor([[[-0.9958, -0.9949, -0.9961, ..., -1.0000, -1.0000, -1.0000], [-0.9957, -0.9948, -0.9960, ..., -1.0000, -1.0000, -1.0000], [-0.9958, -0.9950, -0.9962, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9990, -0.9986, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9987, -0.9982, -0.9983, ..., -1.0000, -1.0000, -1.0000], [-0.9990, -0.9985, -0.9986, ..., -1.0000, -1.0000, -1.0000]], [[-0.9958, -0.9949, -0.9961, ..., -1.0000, -1.0000, -1.0000], [-0.9957, -0.9948, -0.9960, ..., -1.0000, -1.0000, -1.0000], [-0.9958, -0.9950, -0.9962, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9990, -0.9986, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9987, -0.9982, -0.9983, ..., -1.0000, -1.0000, -1.0000], [-0.9990, -0.9985, -0.9986, ..., -1.0000, -1.0000, -1.0000]], [[-0.9958, -0.9949, -0.9961, ..., -1.0000, -1.0000, -1.0000], [-0.9957, -0.9948, -0.9960, ..., -1.0000, -1.0000, -1.0000], [-0.9958, -0.9950, -0.9962, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9990, -0.9986, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9987, -0.9982, -0.9983, ..., -1.0000, -1.0000, -1.0000], [-0.9990, -0.9985, -0.9986, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]Heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact.</s>
<s>[INST] tensor([[[-0.9981, -0.9982, -0.9983, ..., -0.9990, -0.9990, -0.9989], [-0.9982, -0.9984, -0.9985, ..., -0.9990, -0.9990, -0.9989], [-0.9983, -0.9984, -0.9985, ..., -0.9990, -0.9989, -0.9989], ..., [-0.9940, -0.9941, -0.9942, ..., -0.9938, -0.9938, -0.9939], [-0.9940, -0.9942, -0.9942, ..., -0.9931, -0.9931, -0.9932], [-0.9945, -0.9946, -0.9946, ..., -0.9923, -0.9923, -0.9923]], [[-0.9981, -0.9982, -0.9983, ..., -0.9990, -0.9990, -0.9989], [-0.9982, -0.9984, -0.9985, ..., -0.9990, -0.9990, -0.9989], [-0.9983, -0.9984, -0.9985, ..., -0.9990, -0.9989, -0.9989], ..., [-0.9940, -0.9941, -0.9942, ..., -0.9938, -0.9938, -0.9939], [-0.9940, -0.9942, -0.9942, ..., -0.9931, -0.9931, -0.9932], [-0.9945, -0.9946, -0.9946, ..., -0.9923, -0.9923, -0.9923]], [[-0.9981, -0.9982, -0.9983, ..., -0.9990, -0.9990, -0.9989], [-0.9982, -0.9984, -0.9985, ..., -0.9990, -0.9990, -0.9989], [-0.9983, -0.9984, -0.9985, ..., -0.9990, -0.9989, -0.9989], ..., [-0.9940, -0.9941, -0.9942, ..., -0.9938, -0.9938, -0.9939], [-0.9940, -0.9942, -0.9942, ..., -0.9931, -0.9931, -0.9932], [-0.9945, -0.9946, -0.9946, ..., -0.9923, -0.9923, -0.9923]]]) [/INST]The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.</s>
<s>[INST] tensor([[[-0.9994, -0.9994, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9994, -0.9994, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9994, -0.9994, -0.9994, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9946, -0.9947, -0.9948, ..., -0.9986, -0.9988, -0.9990], [-0.9946, -0.9947, -0.9947, ..., -0.9984, -0.9985, -0.9987], [-0.9951, -0.9951, -0.9952, ..., -0.9966, -0.9968, -0.9970]], [[-0.9994, -0.9994, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9994, -0.9994, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9994, -0.9994, -0.9994, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9946, -0.9947, -0.9948, ..., -0.9986, -0.9988, -0.9990], [-0.9946, -0.9947, -0.9947, ..., -0.9984, -0.9985, -0.9987], [-0.9951, -0.9951, -0.9952, ..., -0.9966, -0.9968, -0.9970]], [[-0.9994, -0.9994, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9994, -0.9994, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9994, -0.9994, -0.9994, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9946, -0.9947, -0.9948, ..., -0.9986, -0.9988, -0.9990], [-0.9946, -0.9947, -0.9947, ..., -0.9984, -0.9985, -0.9987], [-0.9951, -0.9951, -0.9952, ..., -0.9966, -0.9968, -0.9970]]]) [/INST]The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.</s>
<s>[INST] tensor([[[-0.9967, -0.9953, -0.9973, ..., -0.9954, -0.9953, -0.9952], [-0.9966, -0.9954, -0.9973, ..., -0.9946, -0.9944, -0.9941], [-0.9966, -0.9955, -0.9974, ..., -0.9977, -0.9976, -0.9972], ..., [-0.9966, -0.9969, -0.9969, ..., -0.9972, -0.9966, -0.9948], [-0.9963, -0.9964, -0.9964, ..., -0.9969, -0.9965, -0.9947], [-0.9956, -0.9957, -0.9957, ..., -0.9963, -0.9962, -0.9945]], [[-0.9967, -0.9953, -0.9973, ..., -0.9954, -0.9953, -0.9952], [-0.9966, -0.9954, -0.9973, ..., -0.9946, -0.9944, -0.9941], [-0.9966, -0.9955, -0.9974, ..., -0.9977, -0.9976, -0.9972], ..., [-0.9966, -0.9969, -0.9969, ..., -0.9972, -0.9966, -0.9948], [-0.9963, -0.9964, -0.9964, ..., -0.9969, -0.9965, -0.9947], [-0.9956, -0.9957, -0.9957, ..., -0.9963, -0.9962, -0.9945]], [[-0.9967, -0.9953, -0.9973, ..., -0.9954, -0.9953, -0.9952], [-0.9966, -0.9954, -0.9973, ..., -0.9946, -0.9944, -0.9941], [-0.9966, -0.9955, -0.9974, ..., -0.9977, -0.9976, -0.9972], ..., [-0.9966, -0.9969, -0.9969, ..., -0.9972, -0.9966, -0.9948], [-0.9963, -0.9964, -0.9964, ..., -0.9969, -0.9965, -0.9947], [-0.9956, -0.9957, -0.9957, ..., -0.9963, -0.9962, -0.9945]]]) [/INST]Stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation, no findings of pleural effusion. Chronic appearing bilateral rib contour deformities compatible with old fractures. No pneumothorax.</s>
<s>[INST] tensor([[[-0.9990, -0.9990, -0.9991, ..., -0.9992, -0.9992, -0.9992], [-0.9986, -0.9987, -0.9988, ..., -0.9992, -0.9992, -0.9992], [-0.9987, -0.9987, -0.9987, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9987, -0.9987, -0.9987, ..., -0.9979, -0.9960, -0.9954], [-0.9988, -0.9988, -0.9988, ..., -0.9975, -0.9961, -0.9956], [-0.9991, -0.9991, -0.9991, ..., -0.9987, -0.9985, -0.9984]], [[-0.9990, -0.9990, -0.9991, ..., -0.9992, -0.9992, -0.9992], [-0.9986, -0.9987, -0.9988, ..., -0.9992, -0.9992, -0.9992], [-0.9987, -0.9987, -0.9987, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9987, -0.9987, -0.9987, ..., -0.9979, -0.9960, -0.9954], [-0.9988, -0.9988, -0.9988, ..., -0.9975, -0.9961, -0.9956], [-0.9991, -0.9991, -0.9991, ..., -0.9987, -0.9985, -0.9984]], [[-0.9990, -0.9990, -0.9991, ..., -0.9992, -0.9992, -0.9992], [-0.9986, -0.9987, -0.9988, ..., -0.9992, -0.9992, -0.9992], [-0.9987, -0.9987, -0.9987, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9987, -0.9987, -0.9987, ..., -0.9979, -0.9960, -0.9954], [-0.9988, -0.9988, -0.9988, ..., -0.9975, -0.9961, -0.9956], [-0.9991, -0.9991, -0.9991, ..., -0.9987, -0.9985, -0.9984]]]) [/INST]Stable cardiomediastinal silhouette with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation, no findings of pleural effusion. Chronic appearing bilateral rib contour deformities compatible with old fractures. No pneumothorax.</s>
<s>[INST] tensor([[[-0.9987, -0.9987, -0.9988, ..., -0.9978, -0.9980, -0.9979], [-0.9988, -0.9989, -0.9989, ..., -0.9982, -0.9982, -0.9980], [-0.9989, -0.9990, -0.9990, ..., -0.9984, -0.9984, -0.9981], ..., [-0.9957, -0.9958, -0.9959, ..., -0.9967, -0.9972, -0.9973], [-0.9957, -0.9958, -0.9959, ..., -0.9967, -0.9972, -0.9973], [-0.9957, -0.9958, -0.9959, ..., -0.9967, -0.9972, -0.9973]], [[-0.9987, -0.9987, -0.9988, ..., -0.9978, -0.9980, -0.9979], [-0.9988, -0.9989, -0.9989, ..., -0.9982, -0.9982, -0.9980], [-0.9989, -0.9990, -0.9990, ..., -0.9984, -0.9984, -0.9981], ..., [-0.9957, -0.9958, -0.9959, ..., -0.9967, -0.9972, -0.9973], [-0.9957, -0.9958, -0.9959, ..., -0.9967, -0.9972, -0.9973], [-0.9957, -0.9958, -0.9959, ..., -0.9967, -0.9972, -0.9973]], [[-0.9987, -0.9987, -0.9988, ..., -0.9978, -0.9980, -0.9979], [-0.9988, -0.9989, -0.9989, ..., -0.9982, -0.9982, -0.9980], [-0.9989, -0.9990, -0.9990, ..., -0.9984, -0.9984, -0.9981], ..., [-0.9957, -0.9958, -0.9959, ..., -0.9967, -0.9972, -0.9973], [-0.9957, -0.9958, -0.9959, ..., -0.9967, -0.9972, -0.9973], [-0.9957, -0.9958, -0.9959, ..., -0.9967, -0.9972, -0.9973]]]) [/INST]There is a right IJ central venous catheter with tip overlying the inferior SVC. Cardiac silhouette is normal size. Normal mediastinal contour and pulmonary vasculature. There is a small right pleural effusion. Otherwise, lungs are without focal airspace disease.</s>
<s>[INST] tensor([[[-0.9936, -0.9936, -0.9936, ..., -0.9944, -0.9944, -0.9943], [-0.9937, -0.9938, -0.9939, ..., -0.9946, -0.9945, -0.9943], [-0.9938, -0.9939, -0.9940, ..., -0.9948, -0.9947, -0.9945], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9993, -0.9985], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9993, -0.9984], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9993, -0.9974]], [[-0.9936, -0.9936, -0.9936, ..., -0.9944, -0.9944, -0.9943], [-0.9937, -0.9938, -0.9939, ..., -0.9946, -0.9945, -0.9943], [-0.9938, -0.9939, -0.9940, ..., -0.9948, -0.9947, -0.9945], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9993, -0.9985], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9993, -0.9984], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9993, -0.9974]], [[-0.9936, -0.9936, -0.9936, ..., -0.9944, -0.9944, -0.9943], [-0.9937, -0.9938, -0.9939, ..., -0.9946, -0.9945, -0.9943], [-0.9938, -0.9939, -0.9940, ..., -0.9948, -0.9947, -0.9945], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9993, -0.9985], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9993, -0.9984], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9993, -0.9974]]]) [/INST]There is a right IJ central venous catheter with tip overlying the inferior SVC. Cardiac silhouette is normal size. Normal mediastinal contour and pulmonary vasculature. There is a small right pleural effusion. Otherwise, lungs are without focal airspace disease.</s>
<s>[INST] tensor([[[-0.9990, -0.9994, -0.9997, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9999, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-0.9996, -0.9999, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9928, -0.9929, -0.9930, ..., -0.9929, -0.9928, -0.9930], [-0.9927, -0.9928, -0.9928, ..., -0.9928, -0.9928, -0.9930], [-0.9926, -0.9927, -0.9927, ..., -0.9927, -0.9926, -0.9929]], [[-0.9990, -0.9994, -0.9997, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9999, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-0.9996, -0.9999, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9928, -0.9929, -0.9930, ..., -0.9929, -0.9928, -0.9930], [-0.9927, -0.9928, -0.9928, ..., -0.9928, -0.9928, -0.9930], [-0.9926, -0.9927, -0.9927, ..., -0.9927, -0.9926, -0.9929]], [[-0.9990, -0.9994, -0.9997, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9999, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-0.9996, -0.9999, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9928, -0.9929, -0.9930, ..., -0.9929, -0.9928, -0.9930], [-0.9927, -0.9928, -0.9928, ..., -0.9928, -0.9928, -0.9930], [-0.9926, -0.9927, -0.9927, ..., -0.9927, -0.9926, -0.9929]]]) [/INST]Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.</s>
<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9943, -0.9946, -0.9947, ..., -0.9950, -0.9949, -0.9950], [-0.9941, -0.9944, -0.9945, ..., -0.9947, -0.9946, -0.9948], [-0.9940, -0.9941, -0.9942, ..., -0.9944, -0.9944, -0.9946]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9943, -0.9946, -0.9947, ..., -0.9950, -0.9949, -0.9950], [-0.9941, -0.9944, -0.9945, ..., -0.9947, -0.9946, -0.9948], [-0.9940, -0.9941, -0.9942, ..., -0.9944, -0.9944, -0.9946]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9943, -0.9946, -0.9947, ..., -0.9950, -0.9949, -0.9950], [-0.9941, -0.9944, -0.9945, ..., -0.9947, -0.9946, -0.9948], [-0.9940, -0.9941, -0.9942, ..., -0.9944, -0.9944, -0.9946]]]) [/INST]Cardiomediastinal silhouette is normal. Pulmonary vasculature and XXXX are normal. No consolidation, pneumothorax or large pleural effusion. Osseous structures and soft tissues are normal.</s>
<s>[INST] tensor([[[-0.9985, -0.9986, -0.9987, ..., -0.9995, -0.9995, -0.9995], [-0.9986, -0.9987, -0.9987, ..., -0.9995, -0.9995, -0.9995], [-0.9986, -0.9987, -0.9988, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9963, -0.9964, -0.9966, ..., -0.9948, -0.9951, -0.9958], [-0.9962, -0.9964, -0.9965, ..., -0.9946, -0.9950, -0.9956], [-0.9961, -0.9962, -0.9963, ..., -0.9944, -0.9948, -0.9954]], [[-0.9985, -0.9986, -0.9987, ..., -0.9995, -0.9995, -0.9995], [-0.9986, -0.9987, -0.9987, ..., -0.9995, -0.9995, -0.9995], [-0.9986, -0.9987, -0.9988, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9963, -0.9964, -0.9966, ..., -0.9948, -0.9951, -0.9958], [-0.9962, -0.9964, -0.9965, ..., -0.9946, -0.9950, -0.9956], [-0.9961, -0.9962, -0.9963, ..., -0.9944, -0.9948, -0.9954]], [[-0.9985, -0.9986, -0.9987, ..., -0.9995, -0.9995, -0.9995], [-0.9986, -0.9987, -0.9987, ..., -0.9995, -0.9995, -0.9995], [-0.9986, -0.9987, -0.9988, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9963, -0.9964, -0.9966, ..., -0.9948, -0.9951, -0.9958], [-0.9962, -0.9964, -0.9965, ..., -0.9946, -0.9950, -0.9956], [-0.9961, -0.9962, -0.9963, ..., -0.9944, -0.9948, -0.9954]]]) [/INST]In the interval, bibasilar interstitial infiltrates and pulmonary venous engorgement have resolved. Heart size is now normal. No XXXX infiltrates.</s>
<s>[INST] tensor([[[-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9989], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9989], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9989], ..., [-0.9973, -0.9970, -0.9969, ..., -0.9958, -0.9959, -0.9960], [-0.9972, -0.9970, -0.9968, ..., -0.9954, -0.9956, -0.9957], [-0.9972, -0.9970, -0.9968, ..., -0.9951, -0.9952, -0.9953]], [[-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9989], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9989], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9989], ..., [-0.9973, -0.9970, -0.9969, ..., -0.9958, -0.9959, -0.9960], [-0.9972, -0.9970, -0.9968, ..., -0.9954, -0.9956, -0.9957], [-0.9972, -0.9970, -0.9968, ..., -0.9951, -0.9952, -0.9953]], [[-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9989], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9989], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9989], ..., [-0.9973, -0.9970, -0.9969, ..., -0.9958, -0.9959, -0.9960], [-0.9972, -0.9970, -0.9968, ..., -0.9954, -0.9956, -0.9957], [-0.9972, -0.9970, -0.9968, ..., -0.9951, -0.9952, -0.9953]]]) [/INST]The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.</s>
<s>[INST] tensor([[[-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9946, -0.9947, -0.9947, ..., -0.9996, -0.9996, -0.9996], [-0.9946, -0.9947, -0.9947, ..., -0.9996, -0.9996, -0.9996], [-0.9949, -0.9950, -0.9950, ..., -0.9993, -0.9994, -0.9991]], [[-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9946, -0.9947, -0.9947, ..., -0.9996, -0.9996, -0.9996], [-0.9946, -0.9947, -0.9947, ..., -0.9996, -0.9996, -0.9996], [-0.9949, -0.9950, -0.9950, ..., -0.9993, -0.9994, -0.9991]], [[-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9946, -0.9947, -0.9947, ..., -0.9996, -0.9996, -0.9996], [-0.9946, -0.9947, -0.9947, ..., -0.9996, -0.9996, -0.9996], [-0.9949, -0.9950, -0.9950, ..., -0.9993, -0.9994, -0.9991]]]) [/INST]The heart is normal in size and contour. There is no mediastinal widening. The lungs are clear bilaterally. No large pleural effusion or pneumothorax. The XXXX are intact.</s>
<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9996, -0.9994], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9996, -0.9994], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9996, -0.9994], ..., [-0.9990, -0.9991, -0.9991, ..., -0.9991, -0.9986, -0.9990], [-0.9982, -0.9982, -0.9982, ..., -0.9986, -0.9982, -0.9989], [-0.9985, -0.9986, -0.9986, ..., -0.9985, -0.9983, -0.9990]], [[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9996, -0.9994], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9996, -0.9994], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9996, -0.9994], ..., [-0.9990, -0.9991, -0.9991, ..., -0.9991, -0.9986, -0.9990], [-0.9982, -0.9982, -0.9982, ..., -0.9986, -0.9982, -0.9989], [-0.9985, -0.9986, -0.9986, ..., -0.9985, -0.9983, -0.9990]], [[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9996, -0.9994], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9996, -0.9994], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9996, -0.9994], ..., [-0.9990, -0.9991, -0.9991, ..., -0.9991, -0.9986, -0.9990], [-0.9982, -0.9982, -0.9982, ..., -0.9986, -0.9982, -0.9989], [-0.9985, -0.9986, -0.9986, ..., -0.9985, -0.9983, -0.9990]]]) [/INST]Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction.</s>
<s>[INST] tensor([[[-1.0000, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9996], ..., [-0.9931, -0.9936, -0.9939, ..., -0.9997, -0.9997, -1.0000], [-0.9965, -0.9966, -0.9967, ..., -0.9995, -0.9996, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9994, -0.9995, -1.0000]], [[-1.0000, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9996], ..., [-0.9931, -0.9936, -0.9939, ..., -0.9997, -0.9997, -1.0000], [-0.9965, -0.9966, -0.9967, ..., -0.9995, -0.9996, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9994, -0.9995, -1.0000]], [[-1.0000, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -0.9997, -0.9997, ..., -0.9998, -0.9997, -0.9996], ..., [-0.9931, -0.9936, -0.9939, ..., -0.9997, -0.9997, -1.0000], [-0.9965, -0.9966, -0.9967, ..., -0.9995, -0.9996, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9994, -0.9995, -1.0000]]]) [/INST]Chest. The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal. Left and right XXXX. Osteophytes are present at the acromioclavicular joints bilaterally and also on the humeral necks. The right glenohumeral joint is normal, but the left is narrowed. No fractures or bone destruction.</s>
<s>[INST] tensor([[[-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9941, -0.9941, -0.9940, ..., -0.9963, -0.9965, -0.9966], [-0.9943, -0.9943, -0.9942, ..., -0.9963, -0.9965, -0.9966], [-0.9942, -0.9942, -0.9941, ..., -0.9947, -0.9949, -0.9948]], [[-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9941, -0.9941, -0.9940, ..., -0.9963, -0.9965, -0.9966], [-0.9943, -0.9943, -0.9942, ..., -0.9963, -0.9965, -0.9966], [-0.9942, -0.9942, -0.9941, ..., -0.9947, -0.9949, -0.9948]], [[-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9941, -0.9941, -0.9940, ..., -0.9963, -0.9965, -0.9966], [-0.9943, -0.9943, -0.9942, ..., -0.9963, -0.9965, -0.9966], [-0.9942, -0.9942, -0.9941, ..., -0.9947, -0.9949, -0.9948]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax.</s>
<s>[INST] tensor([[[-0.9978, -0.9977, -0.9976, ..., -0.9995, -0.9995, -0.9995], [-0.9981, -0.9979, -0.9978, ..., -0.9995, -0.9995, -0.9995], [-0.9983, -0.9982, -0.9980, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9949, -0.9950, -0.9951, ..., -0.9996, -0.9996, -0.9996], [-0.9951, -0.9953, -0.9954, ..., -0.9996, -0.9996, -0.9996], [-0.9957, -0.9958, -0.9958, ..., -0.9996, -0.9996, -0.9996]], [[-0.9978, -0.9977, -0.9976, ..., -0.9995, -0.9995, -0.9995], [-0.9981, -0.9979, -0.9978, ..., -0.9995, -0.9995, -0.9995], [-0.9983, -0.9982, -0.9980, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9949, -0.9950, -0.9951, ..., -0.9996, -0.9996, -0.9996], [-0.9951, -0.9953, -0.9954, ..., -0.9996, -0.9996, -0.9996], [-0.9957, -0.9958, -0.9958, ..., -0.9996, -0.9996, -0.9996]], [[-0.9978, -0.9977, -0.9976, ..., -0.9995, -0.9995, -0.9995], [-0.9981, -0.9979, -0.9978, ..., -0.9995, -0.9995, -0.9995], [-0.9983, -0.9982, -0.9980, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9949, -0.9950, -0.9951, ..., -0.9996, -0.9996, -0.9996], [-0.9951, -0.9953, -0.9954, ..., -0.9996, -0.9996, -0.9996], [-0.9957, -0.9958, -0.9958, ..., -0.9996, -0.9996, -0.9996]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. There is patchy infiltrate within normal right lower lobe. Mild XXXX opacities in the retrocardiac region. No large effusions or pneumothorax.</s>
<s>[INST] tensor([[[-0.9995, -0.9996, -0.9996, ..., -0.9948, -0.9942, -0.9944], [-0.9995, -0.9996, -0.9996, ..., -0.9949, -0.9943, -0.9944], [-0.9995, -0.9996, -0.9997, ..., -0.9948, -0.9943, -0.9944], ..., [-0.9999, -1.0000, -0.9999, ..., -0.9973, -0.9964, -0.9952], [-0.9995, -0.9996, -0.9997, ..., -0.9955, -0.9948, -0.9942], [-0.9985, -0.9987, -0.9988, ..., -0.9936, -0.9932, -0.9932]], [[-0.9995, -0.9996, -0.9996, ..., -0.9948, -0.9942, -0.9944], [-0.9995, -0.9996, -0.9996, ..., -0.9949, -0.9943, -0.9944], [-0.9995, -0.9996, -0.9997, ..., -0.9948, -0.9943, -0.9944], ..., [-0.9999, -1.0000, -0.9999, ..., -0.9973, -0.9964, -0.9952], [-0.9995, -0.9996, -0.9997, ..., -0.9955, -0.9948, -0.9942], [-0.9985, -0.9987, -0.9988, ..., -0.9936, -0.9932, -0.9932]], [[-0.9995, -0.9996, -0.9996, ..., -0.9948, -0.9942, -0.9944], [-0.9995, -0.9996, -0.9996, ..., -0.9949, -0.9943, -0.9944], [-0.9995, -0.9996, -0.9997, ..., -0.9948, -0.9943, -0.9944], ..., [-0.9999, -1.0000, -0.9999, ..., -0.9973, -0.9964, -0.9952], [-0.9995, -0.9996, -0.9997, ..., -0.9955, -0.9948, -0.9942], [-0.9985, -0.9987, -0.9988, ..., -0.9936, -0.9932, -0.9932]]]) [/INST]Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction.</s>
<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9978, -0.9975, -0.9975], [-1.0000, -1.0000, -1.0000, ..., -0.9979, -0.9975, -0.9976], [-1.0000, -1.0000, -1.0000, ..., -0.9979, -0.9975, -0.9976], ..., [-0.9990, -0.9988, -0.9986, ..., -0.9996, -0.9991, -0.9979], [-0.9982, -0.9981, -0.9978, ..., -0.9986, -0.9981, -0.9974], [-0.9972, -0.9970, -0.9969, ..., -0.9970, -0.9966, -0.9966]], [[-1.0000, -1.0000, -1.0000, ..., -0.9978, -0.9975, -0.9975], [-1.0000, -1.0000, -1.0000, ..., -0.9979, -0.9975, -0.9976], [-1.0000, -1.0000, -1.0000, ..., -0.9979, -0.9975, -0.9976], ..., [-0.9990, -0.9988, -0.9986, ..., -0.9996, -0.9991, -0.9979], [-0.9982, -0.9981, -0.9978, ..., -0.9986, -0.9981, -0.9974], [-0.9972, -0.9970, -0.9969, ..., -0.9970, -0.9966, -0.9966]], [[-1.0000, -1.0000, -1.0000, ..., -0.9978, -0.9975, -0.9975], [-1.0000, -1.0000, -1.0000, ..., -0.9979, -0.9975, -0.9976], [-1.0000, -1.0000, -1.0000, ..., -0.9979, -0.9975, -0.9976], ..., [-0.9990, -0.9988, -0.9986, ..., -0.9996, -0.9991, -0.9979], [-0.9982, -0.9981, -0.9978, ..., -0.9986, -0.9981, -0.9974], [-0.9972, -0.9970, -0.9969, ..., -0.9970, -0.9966, -0.9966]]]) [/INST]Low lung volumes are present. The heart size and pulmonary vascularity appear within normal limits. No pleural effusion or pneumothorax is seen. Scattered XXXX of left base atelectasis are noted. Left XXXX-a-XXXX is in XXXX with the tip projecting over the caval atrial junction.</s>
<s>[INST] tensor([[[-0.9959, -0.9958, -0.9957, ..., -0.9976, -0.9978, -0.9979], [-0.9955, -0.9954, -0.9953, ..., -0.9974, -0.9976, -0.9977], [-0.9952, -0.9952, -0.9951, ..., -0.9973, -0.9974, -0.9976], ..., [-0.9978, -0.9978, -0.9979, ..., -0.9977, -0.9976, -0.9975], [-0.9974, -0.9974, -0.9975, ..., -0.9969, -0.9968, -0.9968], [-0.9967, -0.9968, -0.9969, ..., -0.9959, -0.9958, -0.9952]], [[-0.9959, -0.9958, -0.9957, ..., -0.9976, -0.9978, -0.9979], [-0.9955, -0.9954, -0.9953, ..., -0.9974, -0.9976, -0.9977], [-0.9952, -0.9952, -0.9951, ..., -0.9973, -0.9974, -0.9976], ..., [-0.9978, -0.9978, -0.9979, ..., -0.9977, -0.9976, -0.9975], [-0.9974, -0.9974, -0.9975, ..., -0.9969, -0.9968, -0.9968], [-0.9967, -0.9968, -0.9969, ..., -0.9959, -0.9958, -0.9952]], [[-0.9959, -0.9958, -0.9957, ..., -0.9976, -0.9978, -0.9979], [-0.9955, -0.9954, -0.9953, ..., -0.9974, -0.9976, -0.9977], [-0.9952, -0.9952, -0.9951, ..., -0.9973, -0.9974, -0.9976], ..., [-0.9978, -0.9978, -0.9979, ..., -0.9977, -0.9976, -0.9975], [-0.9974, -0.9974, -0.9975, ..., -0.9969, -0.9968, -0.9968], [-0.9967, -0.9968, -0.9969, ..., -0.9959, -0.9958, -0.9952]]]) [/INST]Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.</s>
<s>[INST] tensor([[[-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9955, -0.9954, -0.9954, ..., -0.9996, -0.9996, -0.9974], [-0.9951, -0.9950, -0.9949, ..., -0.9981, -0.9981, -0.9964], [-0.9951, -0.9950, -0.9949, ..., -0.9954, -0.9954, -0.9954]], [[-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9955, -0.9954, -0.9954, ..., -0.9996, -0.9996, -0.9974], [-0.9951, -0.9950, -0.9949, ..., -0.9981, -0.9981, -0.9964], [-0.9951, -0.9950, -0.9949, ..., -0.9954, -0.9954, -0.9954]], [[-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9955, -0.9954, -0.9954, ..., -0.9996, -0.9996, -0.9974], [-0.9951, -0.9950, -0.9949, ..., -0.9981, -0.9981, -0.9964], [-0.9951, -0.9950, -0.9949, ..., -0.9954, -0.9954, -0.9954]]]) [/INST]Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.</s>
<s>[INST] tensor([[[-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9955, -0.9961, -0.9975, ..., -0.9933, -0.9934, -0.9934], [-0.9955, -0.9961, -0.9974, ..., -0.9934, -0.9934, -0.9934], [-0.9954, -0.9960, -0.9973, ..., -0.9934, -0.9934, -0.9934]], [[-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9955, -0.9961, -0.9975, ..., -0.9933, -0.9934, -0.9934], [-0.9955, -0.9961, -0.9974, ..., -0.9934, -0.9934, -0.9934], [-0.9954, -0.9960, -0.9973, ..., -0.9934, -0.9934, -0.9934]], [[-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9993, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9955, -0.9961, -0.9975, ..., -0.9933, -0.9934, -0.9934], [-0.9955, -0.9961, -0.9974, ..., -0.9934, -0.9934, -0.9934], [-0.9954, -0.9960, -0.9973, ..., -0.9934, -0.9934, -0.9934]]]) [/INST]There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary XXXX appear normal. There are calcified subcarinal and right hilar lymph XXXX. The pleural spaces are clear.</s>
<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9994, -0.9994, -0.9994], [-0.9998, -0.9998, -0.9998, ..., -0.9986, -0.9987, -0.9986], ..., [-0.9927, -0.9929, -0.9933, ..., -0.9963, -0.9968, -0.9974], [-0.9926, -0.9929, -0.9932, ..., -0.9963, -0.9967, -0.9973], [-0.9926, -0.9929, -0.9932, ..., -0.9962, -0.9966, -0.9972]], [[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9994, -0.9994, -0.9994], [-0.9998, -0.9998, -0.9998, ..., -0.9986, -0.9987, -0.9986], ..., [-0.9927, -0.9929, -0.9933, ..., -0.9963, -0.9968, -0.9974], [-0.9926, -0.9929, -0.9932, ..., -0.9963, -0.9967, -0.9973], [-0.9926, -0.9929, -0.9932, ..., -0.9962, -0.9966, -0.9972]], [[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9994, -0.9994, -0.9994], [-0.9998, -0.9998, -0.9998, ..., -0.9986, -0.9987, -0.9986], ..., [-0.9927, -0.9929, -0.9933, ..., -0.9963, -0.9968, -0.9974], [-0.9926, -0.9929, -0.9932, ..., -0.9963, -0.9967, -0.9973], [-0.9926, -0.9929, -0.9932, ..., -0.9962, -0.9966, -0.9972]]]) [/INST]There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary XXXX appear normal. There are calcified subcarinal and right hilar lymph XXXX. The pleural spaces are clear.</s>
<s>[INST] tensor([[[-0.9960, -0.9960, -0.9961, ..., -0.9973, -0.9972, -0.9970], [-0.9961, -0.9962, -0.9963, ..., -0.9982, -0.9982, -0.9980], [-0.9964, -0.9966, -0.9967, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9928, -0.9932, -0.9937, ..., -0.9995, -0.9995, -0.9995], [-0.9927, -0.9931, -0.9936, ..., -0.9995, -0.9995, -0.9995], [-0.9926, -0.9929, -0.9934, ..., -0.9995, -0.9995, -0.9995]], [[-0.9960, -0.9960, -0.9961, ..., -0.9973, -0.9972, -0.9970], [-0.9961, -0.9962, -0.9963, ..., -0.9982, -0.9982, -0.9980], [-0.9964, -0.9966, -0.9967, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9928, -0.9932, -0.9937, ..., -0.9995, -0.9995, -0.9995], [-0.9927, -0.9931, -0.9936, ..., -0.9995, -0.9995, -0.9995], [-0.9926, -0.9929, -0.9934, ..., -0.9995, -0.9995, -0.9995]], [[-0.9960, -0.9960, -0.9961, ..., -0.9973, -0.9972, -0.9970], [-0.9961, -0.9962, -0.9963, ..., -0.9982, -0.9982, -0.9980], [-0.9964, -0.9966, -0.9967, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9928, -0.9932, -0.9937, ..., -0.9995, -0.9995, -0.9995], [-0.9927, -0.9931, -0.9936, ..., -0.9995, -0.9995, -0.9995], [-0.9926, -0.9929, -0.9934, ..., -0.9995, -0.9995, -0.9995]]]) [/INST]There are no airspace opacities to suggest pneumonia. There is a vague nodular like opacity in the right midlung measuring 1.2 cm projecting through the posterior 7th and 8th ribs. This may be artifact. Chest fluoroscopy would confirm this. Heart and pulmonary XXXX appear normal. There are calcified subcarinal and right hilar lymph XXXX. The pleural spaces are clear.</s>
<s>[INST] tensor([[[-0.9980, -0.9981, -0.9981, ..., -0.9977, -0.9978, -0.9979], [-0.9980, -0.9981, -0.9982, ..., -0.9977, -0.9978, -0.9978], [-0.9980, -0.9981, -0.9982, ..., -0.9975, -0.9976, -0.9976], ..., [-0.9950, -0.9952, -0.9953, ..., -0.9959, -0.9961, -0.9963], [-0.9947, -0.9949, -0.9950, ..., -0.9956, -0.9958, -0.9960], [-0.9943, -0.9945, -0.9946, ..., -0.9952, -0.9954, -0.9956]], [[-0.9980, -0.9981, -0.9981, ..., -0.9977, -0.9978, -0.9979], [-0.9980, -0.9981, -0.9982, ..., -0.9977, -0.9978, -0.9978], [-0.9980, -0.9981, -0.9982, ..., -0.9975, -0.9976, -0.9976], ..., [-0.9950, -0.9952, -0.9953, ..., -0.9959, -0.9961, -0.9963], [-0.9947, -0.9949, -0.9950, ..., -0.9956, -0.9958, -0.9960], [-0.9943, -0.9945, -0.9946, ..., -0.9952, -0.9954, -0.9956]], [[-0.9980, -0.9981, -0.9981, ..., -0.9977, -0.9978, -0.9979], [-0.9980, -0.9981, -0.9982, ..., -0.9977, -0.9978, -0.9978], [-0.9980, -0.9981, -0.9982, ..., -0.9975, -0.9976, -0.9976], ..., [-0.9950, -0.9952, -0.9953, ..., -0.9959, -0.9961, -0.9963], [-0.9947, -0.9949, -0.9950, ..., -0.9956, -0.9958, -0.9960], [-0.9943, -0.9945, -0.9946, ..., -0.9952, -0.9954, -0.9956]]]) [/INST]The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.</s>
<s>[INST] tensor([[[-0.9972, -0.9971, -0.9971, ..., -0.9994, -0.9994, -0.9994], [-0.9973, -0.9972, -0.9972, ..., -0.9994, -0.9994, -0.9994], [-0.9974, -0.9973, -0.9973, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9980, -0.9976, -0.9974, ..., -0.9988, -0.9989, -0.9990], [-0.9978, -0.9975, -0.9973, ..., -0.9983, -0.9985, -0.9986], [-0.9980, -0.9978, -0.9975, ..., -0.9963, -0.9965, -0.9966]], [[-0.9972, -0.9971, -0.9971, ..., -0.9994, -0.9994, -0.9994], [-0.9973, -0.9972, -0.9972, ..., -0.9994, -0.9994, -0.9994], [-0.9974, -0.9973, -0.9973, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9980, -0.9976, -0.9974, ..., -0.9988, -0.9989, -0.9990], [-0.9978, -0.9975, -0.9973, ..., -0.9983, -0.9985, -0.9986], [-0.9980, -0.9978, -0.9975, ..., -0.9963, -0.9965, -0.9966]], [[-0.9972, -0.9971, -0.9971, ..., -0.9994, -0.9994, -0.9994], [-0.9973, -0.9972, -0.9972, ..., -0.9994, -0.9994, -0.9994], [-0.9974, -0.9973, -0.9973, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9980, -0.9976, -0.9974, ..., -0.9988, -0.9989, -0.9990], [-0.9978, -0.9975, -0.9973, ..., -0.9983, -0.9985, -0.9986], [-0.9980, -0.9978, -0.9975, ..., -0.9963, -0.9965, -0.9966]]]) [/INST]The Cardiopulmonary silhouette is normal. The Heart size is normal. The lungs are clear with no pulmonary effusions or pneumothorax.</s>
<s>[INST] tensor([[[-0.9980, -0.9989, -0.9994, ..., -0.9990, -0.9991, -0.9991], [-0.9980, -0.9989, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9981, -0.9989, -0.9994, ..., -0.9998, -0.9999, -0.9999], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9995, -0.9993, -0.9990], [-0.9981, -0.9982, -0.9982, ..., -0.9992, -0.9990, -0.9988], [-0.9973, -0.9974, -0.9975, ..., -0.9989, -0.9987, -0.9985]], [[-0.9980, -0.9989, -0.9994, ..., -0.9990, -0.9991, -0.9991], [-0.9980, -0.9989, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9981, -0.9989, -0.9994, ..., -0.9998, -0.9999, -0.9999], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9995, -0.9993, -0.9990], [-0.9981, -0.9982, -0.9982, ..., -0.9992, -0.9990, -0.9988], [-0.9973, -0.9974, -0.9975, ..., -0.9989, -0.9987, -0.9985]], [[-0.9980, -0.9989, -0.9994, ..., -0.9990, -0.9991, -0.9991], [-0.9980, -0.9989, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9981, -0.9989, -0.9994, ..., -0.9998, -0.9999, -0.9999], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9995, -0.9993, -0.9990], [-0.9981, -0.9982, -0.9982, ..., -0.9992, -0.9990, -0.9988], [-0.9973, -0.9974, -0.9975, ..., -0.9989, -0.9987, -0.9985]]]) [/INST]There is some minimal biapical scarring. A calcified granuloma is present in the right middle lobe. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.</s>
<s>[INST] tensor([[[-0.9951, -0.9954, -0.9954, ..., -0.9999, -1.0000, -1.0000], [-0.9952, -0.9960, -0.9967, ..., -0.9999, -1.0000, -1.0000], [-0.9952, -0.9960, -0.9968, ..., -0.9999, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000]], [[-0.9951, -0.9954, -0.9954, ..., -0.9999, -1.0000, -1.0000], [-0.9952, -0.9960, -0.9967, ..., -0.9999, -1.0000, -1.0000], [-0.9952, -0.9960, -0.9968, ..., -0.9999, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000]], [[-0.9951, -0.9954, -0.9954, ..., -0.9999, -1.0000, -1.0000], [-0.9952, -0.9960, -0.9967, ..., -0.9999, -1.0000, -1.0000], [-0.9952, -0.9960, -0.9968, ..., -0.9999, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]There is some minimal biapical scarring. A calcified granuloma is present in the right middle lobe. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted.</s>
<s>[INST] tensor([[[-0.9967, -0.9976, -0.9982, ..., -0.9991, -0.9991, -0.9990], [-0.9968, -0.9976, -0.9983, ..., -0.9991, -0.9991, -0.9991], [-0.9968, -0.9977, -0.9983, ..., -0.9992, -0.9992, -0.9991], ..., [-0.9939, -0.9942, -0.9944, ..., -0.9939, -0.9940, -0.9940], [-0.9939, -0.9943, -0.9944, ..., -0.9939, -0.9939, -0.9940], [-0.9940, -0.9944, -0.9945, ..., -0.9942, -0.9942, -0.9942]], [[-0.9967, -0.9976, -0.9982, ..., -0.9991, -0.9991, -0.9990], [-0.9968, -0.9976, -0.9983, ..., -0.9991, -0.9991, -0.9991], [-0.9968, -0.9977, -0.9983, ..., -0.9992, -0.9992, -0.9991], ..., [-0.9939, -0.9942, -0.9944, ..., -0.9939, -0.9940, -0.9940], [-0.9939, -0.9943, -0.9944, ..., -0.9939, -0.9939, -0.9940], [-0.9940, -0.9944, -0.9945, ..., -0.9942, -0.9942, -0.9942]], [[-0.9967, -0.9976, -0.9982, ..., -0.9991, -0.9991, -0.9990], [-0.9968, -0.9976, -0.9983, ..., -0.9991, -0.9991, -0.9991], [-0.9968, -0.9977, -0.9983, ..., -0.9992, -0.9992, -0.9991], ..., [-0.9939, -0.9942, -0.9944, ..., -0.9939, -0.9940, -0.9940], [-0.9939, -0.9943, -0.9944, ..., -0.9939, -0.9939, -0.9940], [-0.9940, -0.9944, -0.9945, ..., -0.9942, -0.9942, -0.9942]]]) [/INST]Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph XXXX and granuloma are noted. Mild degenerative changes are present in the spine.</s>
<s>[INST] tensor([[[-0.9951, -0.9953, -0.9961, ..., -0.9992, -0.9992, -0.9992], [-0.9952, -0.9954, -0.9962, ..., -0.9992, -0.9992, -0.9992], [-0.9953, -0.9956, -0.9964, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9926, -0.9929, -0.9933, ..., -0.9991, -0.9991, -0.9991], [-0.9926, -0.9929, -0.9932, ..., -0.9991, -0.9991, -0.9991], [-0.9925, -0.9928, -0.9932, ..., -0.9991, -0.9991, -0.9991]], [[-0.9951, -0.9953, -0.9961, ..., -0.9992, -0.9992, -0.9992], [-0.9952, -0.9954, -0.9962, ..., -0.9992, -0.9992, -0.9992], [-0.9953, -0.9956, -0.9964, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9926, -0.9929, -0.9933, ..., -0.9991, -0.9991, -0.9991], [-0.9926, -0.9929, -0.9932, ..., -0.9991, -0.9991, -0.9991], [-0.9925, -0.9928, -0.9932, ..., -0.9991, -0.9991, -0.9991]], [[-0.9951, -0.9953, -0.9961, ..., -0.9992, -0.9992, -0.9992], [-0.9952, -0.9954, -0.9962, ..., -0.9992, -0.9992, -0.9992], [-0.9953, -0.9956, -0.9964, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9926, -0.9929, -0.9933, ..., -0.9991, -0.9991, -0.9991], [-0.9926, -0.9929, -0.9932, ..., -0.9991, -0.9991, -0.9991], [-0.9925, -0.9928, -0.9932, ..., -0.9991, -0.9991, -0.9991]]]) [/INST]Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. Calcified lymph XXXX and granuloma are noted. Mild degenerative changes are present in the spine.</s>
<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9997], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9997], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9997], ..., [-0.9925, -0.9925, -0.9925, ..., -0.9934, -0.9971, -0.9999], [-0.9923, -0.9923, -0.9923, ..., -0.9970, -0.9987, -0.9999], [-0.9945, -0.9945, -0.9945, ..., -0.9999, -0.9999, -0.9999]], [[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9997], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9997], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9997], ..., [-0.9925, -0.9925, -0.9925, ..., -0.9934, -0.9971, -0.9999], [-0.9923, -0.9923, -0.9923, ..., -0.9970, -0.9987, -0.9999], [-0.9945, -0.9945, -0.9945, ..., -0.9999, -0.9999, -0.9999]], [[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9997], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9997], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9997], ..., [-0.9925, -0.9925, -0.9925, ..., -0.9934, -0.9971, -0.9999], [-0.9923, -0.9923, -0.9923, ..., -0.9970, -0.9987, -0.9999], [-0.9945, -0.9945, -0.9945, ..., -0.9999, -0.9999, -0.9999]]]) [/INST]Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.</s>
<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -1.0000, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9998, -0.9999], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9998, -0.9999]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9998, -0.9999], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9998, -0.9999]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9998, -0.9999], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9998, -0.9999]]]) [/INST]Both lungs are clear and expanded. An old calcified granuloma is present in the left upper lobe. Heart and mediastinum normal.</s>
<s>[INST] tensor([[[-0.9988, -0.9990, -0.9991, ..., -0.9986, -0.9986, -0.9986], [-0.9975, -0.9981, -0.9985, ..., -0.9993, -0.9992, -0.9993], [-0.9979, -0.9986, -0.9991, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9994, -0.9985, -0.9992, ..., -0.9997, -0.9997, -0.9997], [-0.9994, -0.9984, -0.9989, ..., -0.9997, -0.9997, -0.9997], [-0.9994, -0.9984, -0.9984, ..., -0.9997, -0.9997, -0.9997]], [[-0.9988, -0.9990, -0.9991, ..., -0.9986, -0.9986, -0.9986], [-0.9975, -0.9981, -0.9985, ..., -0.9993, -0.9992, -0.9993], [-0.9979, -0.9986, -0.9991, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9994, -0.9985, -0.9992, ..., -0.9997, -0.9997, -0.9997], [-0.9994, -0.9984, -0.9989, ..., -0.9997, -0.9997, -0.9997], [-0.9994, -0.9984, -0.9984, ..., -0.9997, -0.9997, -0.9997]], [[-0.9988, -0.9990, -0.9991, ..., -0.9986, -0.9986, -0.9986], [-0.9975, -0.9981, -0.9985, ..., -0.9993, -0.9992, -0.9993], [-0.9979, -0.9986, -0.9991, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9994, -0.9985, -0.9992, ..., -0.9997, -0.9997, -0.9997], [-0.9994, -0.9984, -0.9989, ..., -0.9997, -0.9997, -0.9997], [-0.9994, -0.9984, -0.9984, ..., -0.9997, -0.9997, -0.9997]]]) [/INST]The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality.</s>
<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9999, -0.9999, -1.0000, ..., -0.9999, -0.9999, -0.9999], ..., [-1.0000, -0.9987, -0.9958, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -0.9987, -0.9958, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -0.9987, -0.9956, ..., -0.9999, -0.9999, -0.9999]], [[-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9999, -0.9999, -1.0000, ..., -0.9999, -0.9999, -0.9999], ..., [-1.0000, -0.9987, -0.9958, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -0.9987, -0.9958, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -0.9987, -0.9956, ..., -0.9999, -0.9999, -0.9999]], [[-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9999, -0.9999, -1.0000, ..., -0.9999, -0.9999, -0.9999], ..., [-1.0000, -0.9987, -0.9958, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -0.9987, -0.9958, ..., -0.9999, -0.9999, -0.9999], [-1.0000, -0.9987, -0.9956, ..., -0.9999, -0.9999, -0.9999]]]) [/INST]The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardio mediastinal silhouette is unremarkable. Visualized osseous structures of the thorax demonstrates stable mild multilevel degenerative disc disease of the thoracolumbar spine as well as chronic left-sided rib fractures without acute abnormality.</s>
<s>[INST] tensor([[[-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9986, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9985, -0.9985, ..., -0.9986, -0.9986, -0.9986], [-0.9983, -0.9984, -0.9984, ..., -0.9986, -0.9986, -0.9986]], [[-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9986, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9985, -0.9985, ..., -0.9986, -0.9986, -0.9986], [-0.9983, -0.9984, -0.9984, ..., -0.9986, -0.9986, -0.9986]], [[-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9986, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9985, -0.9985, ..., -0.9986, -0.9986, -0.9986], [-0.9983, -0.9984, -0.9984, ..., -0.9986, -0.9986, -0.9986]]]) [/INST]The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.</s>
<s>[INST] tensor([[[-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], [-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], [-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], ..., [-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], [-0.9990, -0.9990, -0.9990, ..., -0.9991, -0.9991, -0.9991], [-0.9990, -0.9990, -0.9990, ..., -0.9991, -0.9991, -0.9991]], [[-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], [-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], [-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], ..., [-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], [-0.9990, -0.9990, -0.9990, ..., -0.9991, -0.9991, -0.9991], [-0.9990, -0.9990, -0.9990, ..., -0.9991, -0.9991, -0.9991]], [[-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], [-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], [-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], ..., [-0.9991, -0.9991, -0.9991, ..., -0.9991, -0.9991, -0.9991], [-0.9990, -0.9990, -0.9990, ..., -0.9991, -0.9991, -0.9991], [-0.9990, -0.9990, -0.9990, ..., -0.9991, -0.9991, -0.9991]]]) [/INST]The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits.</s>
<s>[INST] tensor([[[-0.9978, -0.9986, -0.9990, ..., -0.9996, -0.9996, -0.9997], [-0.9979, -0.9988, -0.9992, ..., -0.9996, -0.9996, -0.9996], [-0.9980, -0.9989, -0.9994, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9967, -0.9955, -0.9963, ..., -0.9990, -0.9984, -0.9990], [-0.9962, -0.9945, -0.9951, ..., -0.9984, -0.9977, -0.9986], [-0.9975, -0.9962, -0.9965, ..., -0.9994, -0.9992, -0.9995]], [[-0.9978, -0.9986, -0.9990, ..., -0.9996, -0.9996, -0.9997], [-0.9979, -0.9988, -0.9992, ..., -0.9996, -0.9996, -0.9996], [-0.9980, -0.9989, -0.9994, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9967, -0.9955, -0.9963, ..., -0.9990, -0.9984, -0.9990], [-0.9962, -0.9945, -0.9951, ..., -0.9984, -0.9977, -0.9986], [-0.9975, -0.9962, -0.9965, ..., -0.9994, -0.9992, -0.9995]], [[-0.9978, -0.9986, -0.9990, ..., -0.9996, -0.9996, -0.9997], [-0.9979, -0.9988, -0.9992, ..., -0.9996, -0.9996, -0.9996], [-0.9980, -0.9989, -0.9994, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9967, -0.9955, -0.9963, ..., -0.9990, -0.9984, -0.9990], [-0.9962, -0.9945, -0.9951, ..., -0.9984, -0.9977, -0.9986], [-0.9975, -0.9962, -0.9965, ..., -0.9994, -0.9992, -0.9995]]]) [/INST]Elevated right hemidiaphragm. Clear lungs. No pleural effusions or pneumothoraces. heart size is upper limits of normal with tortuosity and ectasia of the aorta. Generative changes within the spine. In the upper lumbar spine there is an age-indeterminate wedge XXXX of a vertebral body.</s>
<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -0.9999], ..., [-0.9956, -0.9955, -0.9954, ..., -1.0000, -1.0000, -1.0000], [-0.9968, -0.9967, -0.9966, ..., -1.0000, -1.0000, -0.9999], [-0.9999, -0.9998, -0.9998, ..., -0.9999, -0.9998, -0.9998]], [[-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -0.9999], ..., [-0.9956, -0.9955, -0.9954, ..., -1.0000, -1.0000, -1.0000], [-0.9968, -0.9967, -0.9966, ..., -1.0000, -1.0000, -0.9999], [-0.9999, -0.9998, -0.9998, ..., -0.9999, -0.9998, -0.9998]], [[-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -0.9999], ..., [-0.9956, -0.9955, -0.9954, ..., -1.0000, -1.0000, -1.0000], [-0.9968, -0.9967, -0.9966, ..., -1.0000, -1.0000, -0.9999], [-0.9999, -0.9998, -0.9998, ..., -0.9999, -0.9998, -0.9998]]]) [/INST]Elevated right hemidiaphragm. Clear lungs. No pleural effusions or pneumothoraces. heart size is upper limits of normal with tortuosity and ectasia of the aorta. Generative changes within the spine. In the upper lumbar spine there is an age-indeterminate wedge XXXX of a vertebral body.</s>
<s>[INST] tensor([[[-0.9976, -0.9979, -0.9980, ..., -0.9987, -0.9987, -0.9985], [-0.9976, -0.9979, -0.9981, ..., -0.9988, -0.9987, -0.9986], [-0.9977, -0.9980, -0.9981, ..., -0.9989, -0.9988, -0.9986], ..., [-0.9977, -0.9978, -0.9980, ..., -0.9970, -0.9970, -0.9971], [-0.9976, -0.9978, -0.9978, ..., -0.9966, -0.9966, -0.9967], [-0.9982, -0.9983, -0.9983, ..., -0.9944, -0.9944, -0.9945]], [[-0.9976, -0.9979, -0.9980, ..., -0.9987, -0.9987, -0.9985], [-0.9976, -0.9979, -0.9981, ..., -0.9988, -0.9987, -0.9986], [-0.9977, -0.9980, -0.9981, ..., -0.9989, -0.9988, -0.9986], ..., [-0.9977, -0.9978, -0.9980, ..., -0.9970, -0.9970, -0.9971], [-0.9976, -0.9978, -0.9978, ..., -0.9966, -0.9966, -0.9967], [-0.9982, -0.9983, -0.9983, ..., -0.9944, -0.9944, -0.9945]], [[-0.9976, -0.9979, -0.9980, ..., -0.9987, -0.9987, -0.9985], [-0.9976, -0.9979, -0.9981, ..., -0.9988, -0.9987, -0.9986], [-0.9977, -0.9980, -0.9981, ..., -0.9989, -0.9988, -0.9986], ..., [-0.9977, -0.9978, -0.9980, ..., -0.9970, -0.9970, -0.9971], [-0.9976, -0.9978, -0.9978, ..., -0.9966, -0.9966, -0.9967], [-0.9982, -0.9983, -0.9983, ..., -0.9944, -0.9944, -0.9945]]]) [/INST]Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Calcified bilateral hilar lymph XXXX, greater on the left. No acute osseous findings.</s>
<s>[INST] tensor([[[-0.9957, -0.9958, -0.9959, ..., -0.9994, -0.9994, -0.9994], [-0.9959, -0.9960, -0.9961, ..., -0.9994, -0.9994, -0.9994], [-0.9959, -0.9961, -0.9961, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9948, -0.9947, -0.9945, ..., -0.9996, -0.9995, -0.9993], [-0.9947, -0.9946, -0.9945, ..., -0.9982, -0.9981, -0.9971], [-0.9953, -0.9952, -0.9950, ..., -0.9957, -0.9957, -0.9945]], [[-0.9957, -0.9958, -0.9959, ..., -0.9994, -0.9994, -0.9994], [-0.9959, -0.9960, -0.9961, ..., -0.9994, -0.9994, -0.9994], [-0.9959, -0.9961, -0.9961, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9948, -0.9947, -0.9945, ..., -0.9996, -0.9995, -0.9993], [-0.9947, -0.9946, -0.9945, ..., -0.9982, -0.9981, -0.9971], [-0.9953, -0.9952, -0.9950, ..., -0.9957, -0.9957, -0.9945]], [[-0.9957, -0.9958, -0.9959, ..., -0.9994, -0.9994, -0.9994], [-0.9959, -0.9960, -0.9961, ..., -0.9994, -0.9994, -0.9994], [-0.9959, -0.9961, -0.9961, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9948, -0.9947, -0.9945, ..., -0.9996, -0.9995, -0.9993], [-0.9947, -0.9946, -0.9945, ..., -0.9982, -0.9981, -0.9971], [-0.9953, -0.9952, -0.9950, ..., -0.9957, -0.9957, -0.9945]]]) [/INST]Low lung volumes. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Calcified bilateral hilar lymph XXXX, greater on the left. No acute osseous findings.</s>
<s>[INST] tensor([[[-0.9967, -0.9968, -0.9969, ..., -0.9995, -0.9995, -0.9995], [-0.9980, -0.9981, -0.9981, ..., -0.9996, -0.9996, -0.9995], [-0.9990, -0.9990, -0.9990, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9964, -0.9963, -0.9961, ..., -0.9957, -0.9959, -0.9962], [-0.9965, -0.9963, -0.9962, ..., -0.9956, -0.9959, -0.9962], [-0.9965, -0.9963, -0.9962, ..., -0.9955, -0.9959, -0.9961]], [[-0.9967, -0.9968, -0.9969, ..., -0.9995, -0.9995, -0.9995], [-0.9980, -0.9981, -0.9981, ..., -0.9996, -0.9996, -0.9995], [-0.9990, -0.9990, -0.9990, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9964, -0.9963, -0.9961, ..., -0.9957, -0.9959, -0.9962], [-0.9965, -0.9963, -0.9962, ..., -0.9956, -0.9959, -0.9962], [-0.9965, -0.9963, -0.9962, ..., -0.9955, -0.9959, -0.9961]], [[-0.9967, -0.9968, -0.9969, ..., -0.9995, -0.9995, -0.9995], [-0.9980, -0.9981, -0.9981, ..., -0.9996, -0.9996, -0.9995], [-0.9990, -0.9990, -0.9990, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9964, -0.9963, -0.9961, ..., -0.9957, -0.9959, -0.9962], [-0.9965, -0.9963, -0.9962, ..., -0.9956, -0.9959, -0.9962], [-0.9965, -0.9963, -0.9962, ..., -0.9955, -0.9959, -0.9961]]]) [/INST]There is a left-sided PICC with tip at the caval atrial junction. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable short segment catheter tubing overlying the left XXXX, XXXX to reside within anterior chest soft tissues on recent chest CT. Stable remote posttraumatic changes of multiple right ribs.</s>
<s>[INST] tensor([[[-0.9973, -0.9974, -0.9974, ..., -0.9994, -0.9990, -0.9975], [-0.9991, -0.9991, -0.9992, ..., -0.9994, -0.9994, -0.9992], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9946, -0.9947, -0.9947, ..., -0.9976, -0.9982, -0.9989], [-0.9947, -0.9947, -0.9947, ..., -0.9968, -0.9973, -0.9979], [-0.9954, -0.9954, -0.9953, ..., -0.9958, -0.9963, -0.9968]], [[-0.9973, -0.9974, -0.9974, ..., -0.9994, -0.9990, -0.9975], [-0.9991, -0.9991, -0.9992, ..., -0.9994, -0.9994, -0.9992], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9946, -0.9947, -0.9947, ..., -0.9976, -0.9982, -0.9989], [-0.9947, -0.9947, -0.9947, ..., -0.9968, -0.9973, -0.9979], [-0.9954, -0.9954, -0.9953, ..., -0.9958, -0.9963, -0.9968]], [[-0.9973, -0.9974, -0.9974, ..., -0.9994, -0.9990, -0.9975], [-0.9991, -0.9991, -0.9992, ..., -0.9994, -0.9994, -0.9992], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9946, -0.9947, -0.9947, ..., -0.9976, -0.9982, -0.9989], [-0.9947, -0.9947, -0.9947, ..., -0.9968, -0.9973, -0.9979], [-0.9954, -0.9954, -0.9953, ..., -0.9958, -0.9963, -0.9968]]]) [/INST]There is a left-sided PICC with tip at the caval atrial junction. The cardiomediastinal contours are within normal limits. Pulmonary vasculature is unremarkable. There is no focal airspace opacity. No pleural effusion or pneumothorax is seen. Stable short segment catheter tubing overlying the left XXXX, XXXX to reside within anterior chest soft tissues on recent chest CT. Stable remote posttraumatic changes of multiple right ribs.</s>
<s>[INST] tensor([[[-0.9969, -0.9961, -0.9959, ..., -0.9974, -0.9974, -0.9974], [-0.9971, -0.9964, -0.9961, ..., -0.9974, -0.9974, -0.9974], [-0.9973, -0.9970, -0.9965, ..., -0.9974, -0.9974, -0.9974], ..., [-0.9958, -0.9956, -0.9952, ..., -0.9947, -0.9949, -0.9952], [-0.9969, -0.9969, -0.9967, ..., -0.9947, -0.9949, -0.9951], [-0.9974, -0.9974, -0.9974, ..., -0.9950, -0.9951, -0.9952]], [[-0.9969, -0.9961, -0.9959, ..., -0.9974, -0.9974, -0.9974], [-0.9971, -0.9964, -0.9961, ..., -0.9974, -0.9974, -0.9974], [-0.9973, -0.9970, -0.9965, ..., -0.9974, -0.9974, -0.9974], ..., [-0.9958, -0.9956, -0.9952, ..., -0.9947, -0.9949, -0.9952], [-0.9969, -0.9969, -0.9967, ..., -0.9947, -0.9949, -0.9951], [-0.9974, -0.9974, -0.9974, ..., -0.9950, -0.9951, -0.9952]], [[-0.9969, -0.9961, -0.9959, ..., -0.9974, -0.9974, -0.9974], [-0.9971, -0.9964, -0.9961, ..., -0.9974, -0.9974, -0.9974], [-0.9973, -0.9970, -0.9965, ..., -0.9974, -0.9974, -0.9974], ..., [-0.9958, -0.9956, -0.9952, ..., -0.9947, -0.9949, -0.9952], [-0.9969, -0.9969, -0.9967, ..., -0.9947, -0.9949, -0.9951], [-0.9974, -0.9974, -0.9974, ..., -0.9950, -0.9951, -0.9952]]]) [/INST]Mild cardiomegaly unchanged. Stable superior mediastinal contour with tortuous aorta. Normal pulmonary vascularity. Unchanged elevated right hemidiaphragm with minimal right base subsegmental atelectasis. Minimal XXXX left basal airspace opacity. Unchanged blunting of the right lateral costophrenic XXXX, scarring versus XXXX effusion. No pneumothorax. No acute osseous findings.</s>
<s>[INST] tensor([[[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9990, -0.9984], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9990, -0.9984], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9991, -0.9984], ..., [-0.9994, -0.9994, -0.9995, ..., -0.9969, -0.9963, -0.9956], [-0.9984, -0.9984, -0.9985, ..., -0.9947, -0.9945, -0.9945], [-0.9962, -0.9963, -0.9964, ..., -0.9941, -0.9939, -0.9940]], [[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9990, -0.9984], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9990, -0.9984], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9991, -0.9984], ..., [-0.9994, -0.9994, -0.9995, ..., -0.9969, -0.9963, -0.9956], [-0.9984, -0.9984, -0.9985, ..., -0.9947, -0.9945, -0.9945], [-0.9962, -0.9963, -0.9964, ..., -0.9941, -0.9939, -0.9940]], [[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9990, -0.9984], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9990, -0.9984], [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9991, -0.9984], ..., [-0.9994, -0.9994, -0.9995, ..., -0.9969, -0.9963, -0.9956], [-0.9984, -0.9984, -0.9985, ..., -0.9947, -0.9945, -0.9945], [-0.9962, -0.9963, -0.9964, ..., -0.9941, -0.9939, -0.9940]]]) [/INST]Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.</s>
<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9982, -0.9983, -0.9984, ..., -1.0000, -1.0000, -1.0000], [-0.9975, -0.9973, -0.9974, ..., -0.9992, -0.9991, -0.9991], [-0.9971, -0.9970, -0.9970, ..., -0.9977, -0.9976, -0.9975]], [[-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9982, -0.9983, -0.9984, ..., -1.0000, -1.0000, -1.0000], [-0.9975, -0.9973, -0.9974, ..., -0.9992, -0.9991, -0.9991], [-0.9971, -0.9970, -0.9970, ..., -0.9977, -0.9976, -0.9975]], [[-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9982, -0.9983, -0.9984, ..., -1.0000, -1.0000, -1.0000], [-0.9975, -0.9973, -0.9974, ..., -0.9992, -0.9991, -0.9991], [-0.9971, -0.9970, -0.9970, ..., -0.9977, -0.9976, -0.9975]]]) [/INST]Cardiac and mediastinal contours are within normal limits. The lungs are clear. Bony structures are intact.</s>
<s>[INST] tensor([[[-0.9986, -0.9987, -0.9987, ..., -0.9988, -0.9988, -0.9988], [-0.9987, -0.9989, -0.9989, ..., -0.9989, -0.9988, -0.9988], [-0.9988, -0.9989, -0.9990, ..., -0.9989, -0.9989, -0.9988], ..., [-0.9951, -0.9953, -0.9952, ..., -0.9983, -0.9982, -0.9981], [-0.9951, -0.9950, -0.9950, ..., -0.9982, -0.9982, -0.9981], [-0.9950, -0.9949, -0.9949, ..., -0.9979, -0.9980, -0.9981]], [[-0.9986, -0.9987, -0.9987, ..., -0.9988, -0.9988, -0.9988], [-0.9987, -0.9989, -0.9989, ..., -0.9989, -0.9988, -0.9988], [-0.9988, -0.9989, -0.9990, ..., -0.9989, -0.9989, -0.9988], ..., [-0.9951, -0.9953, -0.9952, ..., -0.9983, -0.9982, -0.9981], [-0.9951, -0.9950, -0.9950, ..., -0.9982, -0.9982, -0.9981], [-0.9950, -0.9949, -0.9949, ..., -0.9979, -0.9980, -0.9981]], [[-0.9986, -0.9987, -0.9987, ..., -0.9988, -0.9988, -0.9988], [-0.9987, -0.9989, -0.9989, ..., -0.9989, -0.9988, -0.9988], [-0.9988, -0.9989, -0.9990, ..., -0.9989, -0.9989, -0.9988], ..., [-0.9951, -0.9953, -0.9952, ..., -0.9983, -0.9982, -0.9981], [-0.9951, -0.9950, -0.9950, ..., -0.9982, -0.9982, -0.9981], [-0.9950, -0.9949, -0.9949, ..., -0.9979, -0.9980, -0.9981]]]) [/INST]The heart size is enlarged. The mediastinal contour is within normal limits. Calcification is seen within the aortic XXXX. XXXX interstitial opacities. There are no nodules or masses. Stable appearing right perihilar calcified granulomas. No visible pneumothorax. Bilateral costophrenic XXXX blunting, left worse than right. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.</s>
<s>[INST] tensor([[[-0.9981, -0.9982, -0.9982, ..., -0.9940, -0.9942, -0.9944], [-0.9981, -0.9982, -0.9982, ..., -0.9941, -0.9942, -0.9942], [-0.9982, -0.9982, -0.9983, ..., -0.9941, -0.9942, -0.9942], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9991, -0.9990, -0.9984], [-0.9922, -0.9922, -0.9922, ..., -0.9978, -0.9977, -0.9969], [-0.9922, -0.9922, -0.9922, ..., -0.9950, -0.9950, -0.9943]], [[-0.9981, -0.9982, -0.9982, ..., -0.9940, -0.9942, -0.9944], [-0.9981, -0.9982, -0.9982, ..., -0.9941, -0.9942, -0.9942], [-0.9982, -0.9982, -0.9983, ..., -0.9941, -0.9942, -0.9942], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9991, -0.9990, -0.9984], [-0.9922, -0.9922, -0.9922, ..., -0.9978, -0.9977, -0.9969], [-0.9922, -0.9922, -0.9922, ..., -0.9950, -0.9950, -0.9943]], [[-0.9981, -0.9982, -0.9982, ..., -0.9940, -0.9942, -0.9944], [-0.9981, -0.9982, -0.9982, ..., -0.9941, -0.9942, -0.9942], [-0.9982, -0.9982, -0.9983, ..., -0.9941, -0.9942, -0.9942], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9991, -0.9990, -0.9984], [-0.9922, -0.9922, -0.9922, ..., -0.9978, -0.9977, -0.9969], [-0.9922, -0.9922, -0.9922, ..., -0.9950, -0.9950, -0.9943]]]) [/INST]The heart size is enlarged. The mediastinal contour is within normal limits. Calcification is seen within the aortic XXXX. XXXX interstitial opacities. There are no nodules or masses. Stable appearing right perihilar calcified granulomas. No visible pneumothorax. Bilateral costophrenic XXXX blunting, left worse than right. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.</s>
<s>[INST] tensor([[[-0.9989, -0.9990, -0.9990, ..., -0.9986, -0.9986, -0.9987], [-0.9991, -0.9991, -0.9991, ..., -0.9987, -0.9987, -0.9987], [-0.9991, -0.9991, -0.9990, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9970, -0.9970, -0.9969, ..., -0.9965, -0.9964, -0.9964], [-0.9970, -0.9970, -0.9970, ..., -0.9964, -0.9964, -0.9964], [-0.9970, -0.9970, -0.9970, ..., -0.9963, -0.9964, -0.9964]], [[-0.9989, -0.9990, -0.9990, ..., -0.9986, -0.9986, -0.9987], [-0.9991, -0.9991, -0.9991, ..., -0.9987, -0.9987, -0.9987], [-0.9991, -0.9991, -0.9990, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9970, -0.9970, -0.9969, ..., -0.9965, -0.9964, -0.9964], [-0.9970, -0.9970, -0.9970, ..., -0.9964, -0.9964, -0.9964], [-0.9970, -0.9970, -0.9970, ..., -0.9963, -0.9964, -0.9964]], [[-0.9989, -0.9990, -0.9990, ..., -0.9986, -0.9986, -0.9987], [-0.9991, -0.9991, -0.9991, ..., -0.9987, -0.9987, -0.9987], [-0.9991, -0.9991, -0.9990, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9970, -0.9970, -0.9969, ..., -0.9965, -0.9964, -0.9964], [-0.9970, -0.9970, -0.9970, ..., -0.9964, -0.9964, -0.9964], [-0.9970, -0.9970, -0.9970, ..., -0.9963, -0.9964, -0.9964]]]) [/INST]Cardiomediastinal silhouette stable with atherosclerosis of the thoracic aorta. Diffusely coarsened interstitial markings are noted consistent with chronic lung disease, with worsened patchy opacities and a left apex and right base. No pneumothorax or pleural effusion. No acute bony abnormality.</s>
<s>[INST] tensor([[[-0.9936, -0.9938, -0.9940, ..., -0.9951, -0.9942, -0.9939], [-0.9940, -0.9947, -0.9956, ..., -0.9968, -0.9954, -0.9944], [-0.9950, -0.9963, -0.9973, ..., -0.9980, -0.9970, -0.9956], ..., [-0.9956, -0.9962, -0.9966, ..., -0.9972, -0.9972, -0.9970], [-0.9954, -0.9960, -0.9965, ..., -0.9968, -0.9970, -0.9969], [-0.9953, -0.9959, -0.9964, ..., -0.9966, -0.9968, -0.9968]], [[-0.9936, -0.9938, -0.9940, ..., -0.9951, -0.9942, -0.9939], [-0.9940, -0.9947, -0.9956, ..., -0.9968, -0.9954, -0.9944], [-0.9950, -0.9963, -0.9973, ..., -0.9980, -0.9970, -0.9956], ..., [-0.9956, -0.9962, -0.9966, ..., -0.9972, -0.9972, -0.9970], [-0.9954, -0.9960, -0.9965, ..., -0.9968, -0.9970, -0.9969], [-0.9953, -0.9959, -0.9964, ..., -0.9966, -0.9968, -0.9968]], [[-0.9936, -0.9938, -0.9940, ..., -0.9951, -0.9942, -0.9939], [-0.9940, -0.9947, -0.9956, ..., -0.9968, -0.9954, -0.9944], [-0.9950, -0.9963, -0.9973, ..., -0.9980, -0.9970, -0.9956], ..., [-0.9956, -0.9962, -0.9966, ..., -0.9972, -0.9972, -0.9970], [-0.9954, -0.9960, -0.9965, ..., -0.9968, -0.9970, -0.9969], [-0.9953, -0.9959, -0.9964, ..., -0.9966, -0.9968, -0.9968]]]) [/INST]No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.</s>
<s>[INST] tensor([[[-0.9986, -0.9986, -0.9987, ..., -0.9985, -0.9984, -0.9984], [-0.9987, -0.9988, -0.9989, ..., -0.9989, -0.9986, -0.9986], [-0.9989, -0.9990, -0.9990, ..., -0.9990, -0.9989, -0.9988], ..., [-0.9937, -0.9954, -0.9972, ..., -0.9990, -0.9990, -0.9991], [-0.9936, -0.9953, -0.9971, ..., -0.9990, -0.9990, -0.9991], [-0.9935, -0.9953, -0.9972, ..., -0.9990, -0.9990, -0.9991]], [[-0.9986, -0.9986, -0.9987, ..., -0.9985, -0.9984, -0.9984], [-0.9987, -0.9988, -0.9989, ..., -0.9989, -0.9986, -0.9986], [-0.9989, -0.9990, -0.9990, ..., -0.9990, -0.9989, -0.9988], ..., [-0.9937, -0.9954, -0.9972, ..., -0.9990, -0.9990, -0.9991], [-0.9936, -0.9953, -0.9971, ..., -0.9990, -0.9990, -0.9991], [-0.9935, -0.9953, -0.9972, ..., -0.9990, -0.9990, -0.9991]], [[-0.9986, -0.9986, -0.9987, ..., -0.9985, -0.9984, -0.9984], [-0.9987, -0.9988, -0.9989, ..., -0.9989, -0.9986, -0.9986], [-0.9989, -0.9990, -0.9990, ..., -0.9990, -0.9989, -0.9988], ..., [-0.9937, -0.9954, -0.9972, ..., -0.9990, -0.9990, -0.9991], [-0.9936, -0.9953, -0.9971, ..., -0.9990, -0.9990, -0.9991], [-0.9935, -0.9953, -0.9972, ..., -0.9990, -0.9990, -0.9991]]]) [/INST]No airspace disease, effusion or noncalcified nodule. Normal heart size and mediastinum. Visualized XXXX of the chest XXXX are within normal limits.</s>
<s>[INST] tensor([[[-0.9996, -0.9995, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9996, -0.9996, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9996, -0.9996, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9927, -0.9934, -0.9940, ..., -0.9971, -0.9974, -0.9977], [-0.9926, -0.9932, -0.9938, ..., -0.9969, -0.9972, -0.9975], [-0.9946, -0.9948, -0.9951, ..., -0.9985, -0.9986, -0.9987]], [[-0.9996, -0.9995, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9996, -0.9996, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9996, -0.9996, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9927, -0.9934, -0.9940, ..., -0.9971, -0.9974, -0.9977], [-0.9926, -0.9932, -0.9938, ..., -0.9969, -0.9972, -0.9975], [-0.9946, -0.9948, -0.9951, ..., -0.9985, -0.9986, -0.9987]], [[-0.9996, -0.9995, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9996, -0.9996, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9996, -0.9996, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9927, -0.9934, -0.9940, ..., -0.9971, -0.9974, -0.9977], [-0.9926, -0.9932, -0.9938, ..., -0.9969, -0.9972, -0.9975], [-0.9946, -0.9948, -0.9951, ..., -0.9985, -0.9986, -0.9987]]]) [/INST]Normal heart size mediastinal contours. Eventration of the right hemidiaphragm. No focal airspace consolidation. No pleural effusion or pneumothorax.</s>
<s>[INST] tensor([[[-1.0000, -0.9999, -0.9999, ..., -0.9999, -1.0000, -1.0000], [-1.0000, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9950, -0.9948, -0.9947, ..., -1.0000, -1.0000, -1.0000], [-0.9962, -0.9961, -0.9959, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -0.9999, -0.9999, ..., -0.9999, -1.0000, -1.0000], [-1.0000, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9950, -0.9948, -0.9947, ..., -1.0000, -1.0000, -1.0000], [-0.9962, -0.9961, -0.9959, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -0.9999, -0.9999, ..., -0.9999, -1.0000, -1.0000], [-1.0000, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9950, -0.9948, -0.9947, ..., -1.0000, -1.0000, -1.0000], [-0.9962, -0.9961, -0.9959, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]Normal heart size mediastinal contours. Eventration of the right hemidiaphragm. No focal airspace consolidation. No pleural effusion or pneumothorax.</s>
<s>[INST] tensor([[[-0.9964, -0.9963, -0.9962, ..., -0.9987, -0.9984, -0.9979], [-0.9960, -0.9959, -0.9959, ..., -0.9986, -0.9984, -0.9980], [-0.9958, -0.9957, -0.9955, ..., -0.9982, -0.9983, -0.9980], ..., [-0.9955, -0.9959, -0.9964, ..., -0.9956, -0.9954, -0.9950], [-0.9953, -0.9957, -0.9962, ..., -0.9953, -0.9951, -0.9947], [-0.9951, -0.9954, -0.9959, ..., -0.9949, -0.9947, -0.9943]], [[-0.9964, -0.9963, -0.9962, ..., -0.9987, -0.9984, -0.9979], [-0.9960, -0.9959, -0.9959, ..., -0.9986, -0.9984, -0.9980], [-0.9958, -0.9957, -0.9955, ..., -0.9982, -0.9983, -0.9980], ..., [-0.9955, -0.9959, -0.9964, ..., -0.9956, -0.9954, -0.9950], [-0.9953, -0.9957, -0.9962, ..., -0.9953, -0.9951, -0.9947], [-0.9951, -0.9954, -0.9959, ..., -0.9949, -0.9947, -0.9943]], [[-0.9964, -0.9963, -0.9962, ..., -0.9987, -0.9984, -0.9979], [-0.9960, -0.9959, -0.9959, ..., -0.9986, -0.9984, -0.9980], [-0.9958, -0.9957, -0.9955, ..., -0.9982, -0.9983, -0.9980], ..., [-0.9955, -0.9959, -0.9964, ..., -0.9956, -0.9954, -0.9950], [-0.9953, -0.9957, -0.9962, ..., -0.9953, -0.9951, -0.9947], [-0.9951, -0.9954, -0.9959, ..., -0.9949, -0.9947, -0.9943]]]) [/INST]Heart size and mediastinal contours appear within normal limits. Patchy airspace opacities in the left lower lobe, compatible with infiltrate. No large pleural effusion. No pneumothorax. No acute bony abnormality.</s>
<s>[INST] tensor([[[-0.9966, -0.9971, -0.9970, ..., -0.9998, -0.9999, -0.9999], [-0.9945, -0.9968, -0.9970, ..., -0.9996, -0.9998, -0.9999], [-0.9934, -0.9964, -0.9966, ..., -0.9994, -0.9998, -0.9999], ..., [-0.9992, -0.9994, -0.9995, ..., -0.9998, -0.9998, -0.9998], [-0.9990, -0.9991, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9991, -0.9992, -0.9993, ..., -0.9975, -0.9975, -0.9974]], [[-0.9966, -0.9971, -0.9970, ..., -0.9998, -0.9999, -0.9999], [-0.9945, -0.9968, -0.9970, ..., -0.9996, -0.9998, -0.9999], [-0.9934, -0.9964, -0.9966, ..., -0.9994, -0.9998, -0.9999], ..., [-0.9992, -0.9994, -0.9995, ..., -0.9998, -0.9998, -0.9998], [-0.9990, -0.9991, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9991, -0.9992, -0.9993, ..., -0.9975, -0.9975, -0.9974]], [[-0.9966, -0.9971, -0.9970, ..., -0.9998, -0.9999, -0.9999], [-0.9945, -0.9968, -0.9970, ..., -0.9996, -0.9998, -0.9999], [-0.9934, -0.9964, -0.9966, ..., -0.9994, -0.9998, -0.9999], ..., [-0.9992, -0.9994, -0.9995, ..., -0.9998, -0.9998, -0.9998], [-0.9990, -0.9991, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9991, -0.9992, -0.9993, ..., -0.9975, -0.9975, -0.9974]]]) [/INST]Heart size and mediastinal contours appear within normal limits. Patchy airspace opacities in the left lower lobe, compatible with infiltrate. No large pleural effusion. No pneumothorax. No acute bony abnormality.</s>
<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9969, -0.9963, -0.9961, ..., -0.9975, -0.9978, -0.9994], [-0.9960, -0.9953, -0.9950, ..., -0.9969, -0.9972, -0.9993], [-0.9979, -0.9975, -0.9975, ..., -0.9971, -0.9974, -0.9993]], [[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9969, -0.9963, -0.9961, ..., -0.9975, -0.9978, -0.9994], [-0.9960, -0.9953, -0.9950, ..., -0.9969, -0.9972, -0.9993], [-0.9979, -0.9975, -0.9975, ..., -0.9971, -0.9974, -0.9993]], [[-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9969, -0.9963, -0.9961, ..., -0.9975, -0.9978, -0.9994], [-0.9960, -0.9953, -0.9950, ..., -0.9969, -0.9972, -0.9993], [-0.9979, -0.9975, -0.9975, ..., -0.9971, -0.9974, -0.9993]]]) [/INST]Heart size within normal limits. There are low lung volumes with bronchovascular crowding. There is mild increased airspace opacity within the right lung base which may represent atelectasis or infiltrate.. No visualized pneumothorax or large pleural effusion. Multilevel degenerative disease of the spine.</s>
<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9998, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9995, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9993, -0.9992, -0.9992, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9998, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9995, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9993, -0.9992, -0.9992, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9998, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9995, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9993, -0.9992, -0.9992, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]Heart size within normal limits. There are low lung volumes with bronchovascular crowding. There is mild increased airspace opacity within the right lung base which may represent atelectasis or infiltrate.. No visualized pneumothorax or large pleural effusion. Multilevel degenerative disease of the spine.</s>
<s>[INST] tensor([[[-0.9987, -0.9994, -0.9998, ..., -0.9997, -0.9998, -0.9998], [-0.9987, -0.9994, -0.9998, ..., -0.9999, -1.0000, -1.0000], [-0.9987, -0.9994, -0.9998, ..., -0.9999, -1.0000, -1.0000], ..., [-0.9990, -0.9990, -0.9990, ..., -0.9997, -0.9997, -0.9996], [-0.9985, -0.9985, -0.9985, ..., -0.9995, -0.9994, -0.9994], [-0.9978, -0.9978, -0.9979, ..., -0.9992, -0.9992, -0.9992]], [[-0.9987, -0.9994, -0.9998, ..., -0.9997, -0.9998, -0.9998], [-0.9987, -0.9994, -0.9998, ..., -0.9999, -1.0000, -1.0000], [-0.9987, -0.9994, -0.9998, ..., -0.9999, -1.0000, -1.0000], ..., [-0.9990, -0.9990, -0.9990, ..., -0.9997, -0.9997, -0.9996], [-0.9985, -0.9985, -0.9985, ..., -0.9995, -0.9994, -0.9994], [-0.9978, -0.9978, -0.9979, ..., -0.9992, -0.9992, -0.9992]], [[-0.9987, -0.9994, -0.9998, ..., -0.9997, -0.9998, -0.9998], [-0.9987, -0.9994, -0.9998, ..., -0.9999, -1.0000, -1.0000], [-0.9987, -0.9994, -0.9998, ..., -0.9999, -1.0000, -1.0000], ..., [-0.9990, -0.9990, -0.9990, ..., -0.9997, -0.9997, -0.9996], [-0.9985, -0.9985, -0.9985, ..., -0.9995, -0.9994, -0.9994], [-0.9978, -0.9978, -0.9979, ..., -0.9992, -0.9992, -0.9992]]]) [/INST]PA and lateral views were obtained. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. A 5 mm stable right apical nodule.</s>
<s>[INST] tensor([[[-0.9959, -0.9966, -0.9971, ..., -1.0000, -1.0000, -1.0000], [-0.9962, -0.9969, -0.9974, ..., -1.0000, -1.0000, -1.0000], [-0.9966, -0.9972, -0.9977, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000]], [[-0.9959, -0.9966, -0.9971, ..., -1.0000, -1.0000, -1.0000], [-0.9962, -0.9969, -0.9974, ..., -1.0000, -1.0000, -1.0000], [-0.9966, -0.9972, -0.9977, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000]], [[-0.9959, -0.9966, -0.9971, ..., -1.0000, -1.0000, -1.0000], [-0.9962, -0.9969, -0.9974, ..., -1.0000, -1.0000, -1.0000], [-0.9966, -0.9972, -0.9977, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]PA and lateral views were obtained. Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact. A 5 mm stable right apical nodule.</s>
<s>[INST] tensor([[[-0.9986, -0.9986, -0.9986, ..., -0.9967, -0.9953, -0.9952], [-0.9996, -0.9996, -0.9996, ..., -0.9968, -0.9955, -0.9954], [-0.9997, -0.9997, -0.9997, ..., -0.9969, -0.9956, -0.9956], ..., [-0.9941, -0.9941, -0.9938, ..., -0.9994, -0.9987, -0.9975], [-0.9937, -0.9936, -0.9934, ..., -0.9984, -0.9977, -0.9969], [-0.9932, -0.9931, -0.9929, ..., -0.9968, -0.9963, -0.9959]], [[-0.9986, -0.9986, -0.9986, ..., -0.9967, -0.9953, -0.9952], [-0.9996, -0.9996, -0.9996, ..., -0.9968, -0.9955, -0.9954], [-0.9997, -0.9997, -0.9997, ..., -0.9969, -0.9956, -0.9956], ..., [-0.9941, -0.9941, -0.9938, ..., -0.9994, -0.9987, -0.9975], [-0.9937, -0.9936, -0.9934, ..., -0.9984, -0.9977, -0.9969], [-0.9932, -0.9931, -0.9929, ..., -0.9968, -0.9963, -0.9959]], [[-0.9986, -0.9986, -0.9986, ..., -0.9967, -0.9953, -0.9952], [-0.9996, -0.9996, -0.9996, ..., -0.9968, -0.9955, -0.9954], [-0.9997, -0.9997, -0.9997, ..., -0.9969, -0.9956, -0.9956], ..., [-0.9941, -0.9941, -0.9938, ..., -0.9994, -0.9987, -0.9975], [-0.9937, -0.9936, -0.9934, ..., -0.9984, -0.9977, -0.9969], [-0.9932, -0.9931, -0.9929, ..., -0.9968, -0.9963, -0.9959]]]) [/INST]The heart is normal in size. The mediastinum is stable. Lungs are mildly hypoinflated. Increased XXXX opacities on lateral projection XXXX reflect bronchovascular crowding. There is no acute infiltrate or pleural effusion.</s>
<s>[INST] tensor([[[-0.9987, -0.9988, -0.9987, ..., -0.9994, -0.9989, -0.9990], [-0.9998, -0.9998, -0.9998, ..., -0.9995, -0.9990, -0.9990], [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9991, -0.9991], ..., [-0.9971, -0.9974, -0.9973, ..., -1.0000, -1.0000, -0.9998], [-0.9964, -0.9966, -0.9965, ..., -1.0000, -0.9998, -0.9996], [-0.9957, -0.9958, -0.9957, ..., -0.9994, -0.9991, -0.9990]], [[-0.9987, -0.9988, -0.9987, ..., -0.9994, -0.9989, -0.9990], [-0.9998, -0.9998, -0.9998, ..., -0.9995, -0.9990, -0.9990], [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9991, -0.9991], ..., [-0.9971, -0.9974, -0.9973, ..., -1.0000, -1.0000, -0.9998], [-0.9964, -0.9966, -0.9965, ..., -1.0000, -0.9998, -0.9996], [-0.9957, -0.9958, -0.9957, ..., -0.9994, -0.9991, -0.9990]], [[-0.9987, -0.9988, -0.9987, ..., -0.9994, -0.9989, -0.9990], [-0.9998, -0.9998, -0.9998, ..., -0.9995, -0.9990, -0.9990], [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9991, -0.9991], ..., [-0.9971, -0.9974, -0.9973, ..., -1.0000, -1.0000, -0.9998], [-0.9964, -0.9966, -0.9965, ..., -1.0000, -0.9998, -0.9996], [-0.9957, -0.9958, -0.9957, ..., -0.9994, -0.9991, -0.9990]]]) [/INST]The heart is normal in size. The mediastinum is stable. Lungs are mildly hypoinflated. Increased XXXX opacities on lateral projection XXXX reflect bronchovascular crowding. There is no acute infiltrate or pleural effusion.</s>