Heba30018/chestX-ray · Datasets at Hugging Face

formatted_text stringlengths 1k 2.4k
<s>[INST] tensor([[[-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, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -0.9999, -0.9997, ..., -0.9959, -0.9960, -0.9973], [-1.0000, -0.9999, -0.9998, ..., -0.9959, -0.9960, -0.9972], [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9972, -0.9981]], [[-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, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -0.9999, -0.9997, ..., -0.9959, -0.9960, -0.9973], [-1.0000, -0.9999, -0.9998, ..., -0.9959, -0.9960, -0.9972], [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9972, -0.9981]], [[-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, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -0.9999, -0.9997, ..., -0.9959, -0.9960, -0.9973], [-1.0000, -0.9999, -0.9998, ..., -0.9959, -0.9960, -0.9972], [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9972, -0.9981]]]) [/INST]Stable appearance of previous XXXX sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.</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, ..., -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], [-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, ..., -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], [-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, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]Stable appearance of previous XXXX sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.</s>
<s>[INST] tensor([[[-0.9922, -0.9922, -0.9922, ..., -0.9932, -0.9924, -0.9924], [-0.9931, -0.9932, -0.9933, ..., -0.9961, -0.9943, -0.9928], [-0.9966, -0.9967, -0.9967, ..., -0.9975, -0.9963, -0.9942], ..., [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976]], [[-0.9922, -0.9922, -0.9922, ..., -0.9932, -0.9924, -0.9924], [-0.9931, -0.9932, -0.9933, ..., -0.9961, -0.9943, -0.9928], [-0.9966, -0.9967, -0.9967, ..., -0.9975, -0.9963, -0.9942], ..., [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976]], [[-0.9922, -0.9922, -0.9922, ..., -0.9932, -0.9924, -0.9924], [-0.9931, -0.9932, -0.9933, ..., -0.9961, -0.9943, -0.9928], [-0.9966, -0.9967, -0.9967, ..., -0.9975, -0.9963, -0.9942], ..., [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>
<s>[INST] tensor([[[-0.9934, -0.9934, -0.9934, ..., -0.9966, -0.9962, -0.9961], [-0.9940, -0.9940, -0.9940, ..., -0.9976, -0.9966, -0.9964], [-0.9959, -0.9959, -0.9958, ..., -0.9983, -0.9974, -0.9967], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9934, -0.9934, -0.9934, ..., -0.9966, -0.9962, -0.9961], [-0.9940, -0.9940, -0.9940, ..., -0.9976, -0.9966, -0.9964], [-0.9959, -0.9959, -0.9958, ..., -0.9983, -0.9974, -0.9967], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9934, -0.9934, -0.9934, ..., -0.9966, -0.9962, -0.9961], [-0.9940, -0.9940, -0.9940, ..., -0.9976, -0.9966, -0.9964], [-0.9959, -0.9959, -0.9958, ..., -0.9983, -0.9974, -0.9967], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>
<s>[INST] tensor([[[-0.9978, -0.9986, -0.9991, ..., -0.9991, -0.9991, -0.9990], [-0.9987, -0.9993, -0.9997, ..., -0.9998, -0.9998, -0.9998], [-0.9987, -0.9994, -0.9997, ..., -0.9999, -1.0000, -0.9999], ..., [-0.9992, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9997], [-0.9990, -0.9995, -0.9997, ..., -0.9996, -0.9996, -0.9995], [-0.9987, -0.9992, -0.9994, ..., -0.9994, -0.9993, -0.9993]], [[-0.9978, -0.9986, -0.9991, ..., -0.9991, -0.9991, -0.9990], [-0.9987, -0.9993, -0.9997, ..., -0.9998, -0.9998, -0.9998], [-0.9987, -0.9994, -0.9997, ..., -0.9999, -1.0000, -0.9999], ..., [-0.9992, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9997], [-0.9990, -0.9995, -0.9997, ..., -0.9996, -0.9996, -0.9995], [-0.9987, -0.9992, -0.9994, ..., -0.9994, -0.9993, -0.9993]], [[-0.9978, -0.9986, -0.9991, ..., -0.9991, -0.9991, -0.9990], [-0.9987, -0.9993, -0.9997, ..., -0.9998, -0.9998, -0.9998], [-0.9987, -0.9994, -0.9997, ..., -0.9999, -1.0000, -0.9999], ..., [-0.9992, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9997], [-0.9990, -0.9995, -0.9997, ..., -0.9996, -0.9996, -0.9995], [-0.9987, -0.9992, -0.9994, ..., -0.9994, -0.9993, -0.9993]]]) [/INST]The lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence for mass lung apices. The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are unremarkable.</s>
<s>[INST] tensor([[[-0.9973, -0.9982, -0.9989, ..., -0.9996, -0.9997, -0.9997], [-0.9982, -0.9990, -0.9996, ..., -0.9996, -0.9997, -0.9998], [-0.9981, -0.9989, -0.9994, ..., -0.9997, -0.9997, -0.9998], ..., [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000]], [[-0.9973, -0.9982, -0.9989, ..., -0.9996, -0.9997, -0.9997], [-0.9982, -0.9990, -0.9996, ..., -0.9996, -0.9997, -0.9998], [-0.9981, -0.9989, -0.9994, ..., -0.9997, -0.9997, -0.9998], ..., [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000]], [[-0.9973, -0.9982, -0.9989, ..., -0.9996, -0.9997, -0.9997], [-0.9982, -0.9990, -0.9996, ..., -0.9996, -0.9997, -0.9998], [-0.9981, -0.9989, -0.9994, ..., -0.9997, -0.9997, -0.9998], ..., [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence for mass lung apices. The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are unremarkable.</s>
<s>[INST] tensor([[[-0.9986, -0.9987, -0.9987, ..., -0.9987, -0.9986, -0.9986], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987]], [[-0.9986, -0.9987, -0.9987, ..., -0.9987, -0.9986, -0.9986], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987]], [[-0.9986, -0.9987, -0.9987, ..., -0.9987, -0.9986, -0.9986], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987]]]) [/INST]The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.</s>
<s>[INST] tensor([[[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9989, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9982, -0.9981, -0.9980, ..., -0.9990, -0.9990, -0.9990], [-0.9980, -0.9979, -0.9978, ..., -0.9990, -0.9990, -0.9990], [-0.9977, -0.9976, -0.9975, ..., -0.9990, -0.9990, -0.9990]], [[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9989, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9982, -0.9981, -0.9980, ..., -0.9990, -0.9990, -0.9990], [-0.9980, -0.9979, -0.9978, ..., -0.9990, -0.9990, -0.9990], [-0.9977, -0.9976, -0.9975, ..., -0.9990, -0.9990, -0.9990]], [[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9989, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9982, -0.9981, -0.9980, ..., -0.9990, -0.9990, -0.9990], [-0.9980, -0.9979, -0.9978, ..., -0.9990, -0.9990, -0.9990], [-0.9977, -0.9976, -0.9975, ..., -0.9990, -0.9990, -0.9990]]]) [/INST]The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.</s>
<s>[INST] tensor([[[-0.9990, -0.9990, -0.9990, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9928, -0.9928, -0.9928, ..., -0.9933, -0.9934, -0.9934], [-0.9929, -0.9928, -0.9928, ..., -0.9932, -0.9933, -0.9934], [-0.9932, -0.9933, -0.9932, ..., -0.9923, -0.9924, -0.9924]], [[-0.9990, -0.9990, -0.9990, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9928, -0.9928, -0.9928, ..., -0.9933, -0.9934, -0.9934], [-0.9929, -0.9928, -0.9928, ..., -0.9932, -0.9933, -0.9934], [-0.9932, -0.9933, -0.9932, ..., -0.9923, -0.9924, -0.9924]], [[-0.9990, -0.9990, -0.9990, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9928, -0.9928, -0.9928, ..., -0.9933, -0.9934, -0.9934], [-0.9929, -0.9928, -0.9928, ..., -0.9932, -0.9933, -0.9934], [-0.9932, -0.9933, -0.9932, ..., -0.9923, -0.9924, -0.9924]]]) [/INST]The cardiac silhouette is enlarged. There are bibasilar airspace opacities left greater than right with small right pleural effusion. No visualized pneumothorax.</s>
<s>[INST] tensor([[[-0.9958, -0.9958, -0.9958, ..., -0.9995, -0.9994, -0.9994], [-0.9959, -0.9959, -0.9958, ..., -0.9995, -0.9995, -0.9995], [-0.9960, -0.9960, -0.9959, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9936, -0.9937, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997]], [[-0.9958, -0.9958, -0.9958, ..., -0.9995, -0.9994, -0.9994], [-0.9959, -0.9959, -0.9958, ..., -0.9995, -0.9995, -0.9995], [-0.9960, -0.9960, -0.9959, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9936, -0.9937, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997]], [[-0.9958, -0.9958, -0.9958, ..., -0.9995, -0.9994, -0.9994], [-0.9959, -0.9959, -0.9958, ..., -0.9995, -0.9995, -0.9995], [-0.9960, -0.9960, -0.9959, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9936, -0.9937, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997]]]) [/INST]The cardiac silhouette is enlarged. There are bibasilar airspace opacities left greater than right with small right pleural effusion. No visualized pneumothorax.</s>
<s>[INST] tensor([[[-0.9987, -0.9992, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9997, -0.9998, -0.9998, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9981, -0.9989, -0.9994, ..., -0.9999, -0.9999, -0.9999], [-0.9980, -0.9987, -0.9992, ..., -0.9999, -0.9999, -0.9999], [-0.9977, -0.9985, -0.9990, ..., -0.9999, -0.9999, -0.9999]], [[-0.9987, -0.9992, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9997, -0.9998, -0.9998, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9981, -0.9989, -0.9994, ..., -0.9999, -0.9999, -0.9999], [-0.9980, -0.9987, -0.9992, ..., -0.9999, -0.9999, -0.9999], [-0.9977, -0.9985, -0.9990, ..., -0.9999, -0.9999, -0.9999]], [[-0.9987, -0.9992, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9997, -0.9998, -0.9998, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9981, -0.9989, -0.9994, ..., -0.9999, -0.9999, -0.9999], [-0.9980, -0.9987, -0.9992, ..., -0.9999, -0.9999, -0.9999], [-0.9977, -0.9985, -0.9990, ..., -0.9999, -0.9999, -0.9999]]]) [/INST]Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.</s>
<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], ..., [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9999, -0.9999]], [[-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], ..., [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9999, -0.9999]], [[-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], ..., [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9999, -0.9999]]]) [/INST]Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.</s>
<s>[INST] tensor([[[-0.9957, -0.9966, -0.9971, ..., -0.9984, -0.9984, -0.9983], [-0.9958, -0.9967, -0.9973, ..., -0.9985, -0.9985, -0.9984], [-0.9958, -0.9967, -0.9973, ..., -0.9986, -0.9985, -0.9984], ..., [-0.9952, -0.9955, -0.9957, ..., -0.9943, -0.9944, -0.9944], [-0.9945, -0.9948, -0.9950, ..., -0.9942, -0.9943, -0.9943], [-0.9938, -0.9942, -0.9944, ..., -0.9941, -0.9942, -0.9943]], [[-0.9957, -0.9966, -0.9971, ..., -0.9984, -0.9984, -0.9983], [-0.9958, -0.9967, -0.9973, ..., -0.9985, -0.9985, -0.9984], [-0.9958, -0.9967, -0.9973, ..., -0.9986, -0.9985, -0.9984], ..., [-0.9952, -0.9955, -0.9957, ..., -0.9943, -0.9944, -0.9944], [-0.9945, -0.9948, -0.9950, ..., -0.9942, -0.9943, -0.9943], [-0.9938, -0.9942, -0.9944, ..., -0.9941, -0.9942, -0.9943]], [[-0.9957, -0.9966, -0.9971, ..., -0.9984, -0.9984, -0.9983], [-0.9958, -0.9967, -0.9973, ..., -0.9985, -0.9985, -0.9984], [-0.9958, -0.9967, -0.9973, ..., -0.9986, -0.9985, -0.9984], ..., [-0.9952, -0.9955, -0.9957, ..., -0.9943, -0.9944, -0.9944], [-0.9945, -0.9948, -0.9950, ..., -0.9942, -0.9943, -0.9943], [-0.9938, -0.9942, -0.9944, ..., -0.9941, -0.9942, -0.9943]]]) [/INST]No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Cardiomediastinal silhouette stable. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.</s>
<s>[INST] tensor([[[-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9933, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9924, -0.9925, -0.9926, ..., -0.9994, -0.9994, -0.9994], [-0.9922, -0.9922, -0.9922, ..., -0.9994, -0.9994, -0.9994]], [[-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9933, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9924, -0.9925, -0.9926, ..., -0.9994, -0.9994, -0.9994], [-0.9922, -0.9922, -0.9922, ..., -0.9994, -0.9994, -0.9994]], [[-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9933, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9924, -0.9925, -0.9926, ..., -0.9994, -0.9994, -0.9994], [-0.9922, -0.9922, -0.9922, ..., -0.9994, -0.9994, -0.9994]]]) [/INST]No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Cardiomediastinal silhouette stable. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.</s>
<s>[INST] tensor([[[-0.9984, -0.9984, -0.9985, ..., -0.9985, -0.9983, -0.9982], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], ..., [-0.9954, -0.9960, -0.9965, ..., -0.9973, -0.9968, -0.9965], [-0.9954, -0.9960, -0.9965, ..., -0.9974, -0.9968, -0.9964], [-0.9953, -0.9960, -0.9965, ..., -0.9970, -0.9964, -0.9959]], [[-0.9984, -0.9984, -0.9985, ..., -0.9985, -0.9983, -0.9982], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], ..., [-0.9954, -0.9960, -0.9965, ..., -0.9973, -0.9968, -0.9965], [-0.9954, -0.9960, -0.9965, ..., -0.9974, -0.9968, -0.9964], [-0.9953, -0.9960, -0.9965, ..., -0.9970, -0.9964, -0.9959]], [[-0.9984, -0.9984, -0.9985, ..., -0.9985, -0.9983, -0.9982], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], ..., [-0.9954, -0.9960, -0.9965, ..., -0.9973, -0.9968, -0.9965], [-0.9954, -0.9960, -0.9965, ..., -0.9974, -0.9968, -0.9964], [-0.9953, -0.9960, -0.9965, ..., -0.9970, -0.9964, -0.9959]]]) [/INST]Heart size is normal. No focal airspace consolidations. No pneumothorax or pleural effusion. No acute osseous findings.</s>
<s>[INST] tensor([[[-0.9980, -0.9981, -0.9981, ..., -0.9989, -0.9989, -0.9989], [-0.9983, -0.9984, -0.9985, ..., -0.9989, -0.9989, -0.9989], [-0.9985, -0.9986, -0.9987, ..., -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, ..., -0.9989, -0.9989, -0.9989]], [[-0.9980, -0.9981, -0.9981, ..., -0.9989, -0.9989, -0.9989], [-0.9983, -0.9984, -0.9985, ..., -0.9989, -0.9989, -0.9989], [-0.9985, -0.9986, -0.9987, ..., -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, ..., -0.9989, -0.9989, -0.9989]], [[-0.9980, -0.9981, -0.9981, ..., -0.9989, -0.9989, -0.9989], [-0.9983, -0.9984, -0.9985, ..., -0.9989, -0.9989, -0.9989], [-0.9985, -0.9986, -0.9987, ..., -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, ..., -0.9989, -0.9989, -0.9989]]]) [/INST]Heart size is normal. No focal airspace consolidations. No pneumothorax or pleural effusion. No acute osseous findings.</s>
<s>[INST] tensor([[[-0.9959, -0.9958, -0.9956, ..., -0.9962, -0.9963, -0.9961], [-0.9957, -0.9957, -0.9956, ..., -0.9962, -0.9962, -0.9961], [-0.9955, -0.9956, -0.9956, ..., -0.9961, -0.9961, -0.9959], ..., [-0.9969, -0.9971, -0.9973, ..., -0.9977, -0.9976, -0.9972], [-0.9968, -0.9970, -0.9971, ..., -0.9974, -0.9973, -0.9970], [-0.9966, -0.9967, -0.9968, ..., -0.9970, -0.9969, -0.9966]], [[-0.9959, -0.9958, -0.9956, ..., -0.9962, -0.9963, -0.9961], [-0.9957, -0.9957, -0.9956, ..., -0.9962, -0.9962, -0.9961], [-0.9955, -0.9956, -0.9956, ..., -0.9961, -0.9961, -0.9959], ..., [-0.9969, -0.9971, -0.9973, ..., -0.9977, -0.9976, -0.9972], [-0.9968, -0.9970, -0.9971, ..., -0.9974, -0.9973, -0.9970], [-0.9966, -0.9967, -0.9968, ..., -0.9970, -0.9969, -0.9966]], [[-0.9959, -0.9958, -0.9956, ..., -0.9962, -0.9963, -0.9961], [-0.9957, -0.9957, -0.9956, ..., -0.9962, -0.9962, -0.9961], [-0.9955, -0.9956, -0.9956, ..., -0.9961, -0.9961, -0.9959], ..., [-0.9969, -0.9971, -0.9973, ..., -0.9977, -0.9976, -0.9972], [-0.9968, -0.9970, -0.9971, ..., -0.9974, -0.9973, -0.9970], [-0.9966, -0.9967, -0.9968, ..., -0.9970, -0.9969, -0.9966]]]) [/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. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.</s>
<s>[INST] tensor([[[-0.9978, -0.9978, -0.9979, ..., -0.9979, -0.9966, -0.9944], [-0.9979, -0.9980, -0.9980, ..., -0.9984, -0.9980, -0.9970], [-0.9980, -0.9981, -0.9981, ..., -0.9984, -0.9980, -0.9975], ..., [-0.9975, -0.9977, -0.9977, ..., -0.9983, -0.9982, -0.9980], [-0.9973, -0.9974, -0.9974, ..., -0.9974, -0.9973, -0.9972], [-0.9977, -0.9978, -0.9978, ..., -0.9941, -0.9939, -0.9938]], [[-0.9978, -0.9978, -0.9979, ..., -0.9979, -0.9966, -0.9944], [-0.9979, -0.9980, -0.9980, ..., -0.9984, -0.9980, -0.9970], [-0.9980, -0.9981, -0.9981, ..., -0.9984, -0.9980, -0.9975], ..., [-0.9975, -0.9977, -0.9977, ..., -0.9983, -0.9982, -0.9980], [-0.9973, -0.9974, -0.9974, ..., -0.9974, -0.9973, -0.9972], [-0.9977, -0.9978, -0.9978, ..., -0.9941, -0.9939, -0.9938]], [[-0.9978, -0.9978, -0.9979, ..., -0.9979, -0.9966, -0.9944], [-0.9979, -0.9980, -0.9980, ..., -0.9984, -0.9980, -0.9970], [-0.9980, -0.9981, -0.9981, ..., -0.9984, -0.9980, -0.9975], ..., [-0.9975, -0.9977, -0.9977, ..., -0.9983, -0.9982, -0.9980], [-0.9973, -0.9974, -0.9974, ..., -0.9974, -0.9973, -0.9972], [-0.9977, -0.9978, -0.9978, ..., -0.9941, -0.9939, -0.9938]]]) [/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. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.</s>
<s>[INST] tensor([[[-0.9989, -0.9991, -0.9991, ..., -0.9991, -0.9990, -0.9995], [-0.9993, -0.9996, -0.9997, ..., -0.9997, -0.9996, -0.9997], [-0.9995, -0.9998, -0.9999, ..., -0.9999, -0.9998, -0.9998], ..., [-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]], [[-0.9989, -0.9991, -0.9991, ..., -0.9991, -0.9990, -0.9995], [-0.9993, -0.9996, -0.9997, ..., -0.9997, -0.9996, -0.9997], [-0.9995, -0.9998, -0.9999, ..., -0.9999, -0.9998, -0.9998], ..., [-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]], [[-0.9989, -0.9991, -0.9991, ..., -0.9991, -0.9990, -0.9995], [-0.9993, -0.9996, -0.9997, ..., -0.9997, -0.9996, -0.9997], [-0.9995, -0.9998, -0.9999, ..., -0.9999, -0.9998, -0.9998], ..., [-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]]]) [/INST]Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.</s>
<s>[INST] tensor([[[-0.9994, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9984, -0.9982, -0.9978, ..., -1.0000, -1.0000, -1.0000], [-0.9985, -0.9983, -0.9980, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000]], [[-0.9994, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9984, -0.9982, -0.9978, ..., -1.0000, -1.0000, -1.0000], [-0.9985, -0.9983, -0.9980, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000]], [[-0.9994, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9984, -0.9982, -0.9978, ..., -1.0000, -1.0000, -1.0000], [-0.9985, -0.9983, -0.9980, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.</s>
<s>[INST] tensor([[[-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9992, -0.9990, -0.9987, ..., -0.9981, -0.9985, -0.9990], [-0.9990, -0.9988, -0.9985, ..., -0.9980, -0.9984, -0.9989], [-0.9989, -0.9986, -0.9983, ..., -0.9978, -0.9982, -0.9987]], [[-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9992, -0.9990, -0.9987, ..., -0.9981, -0.9985, -0.9990], [-0.9990, -0.9988, -0.9985, ..., -0.9980, -0.9984, -0.9989], [-0.9989, -0.9986, -0.9983, ..., -0.9978, -0.9982, -0.9987]], [[-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9992, -0.9990, -0.9987, ..., -0.9981, -0.9985, -0.9990], [-0.9990, -0.9988, -0.9985, ..., -0.9980, -0.9984, -0.9989], [-0.9989, -0.9986, -0.9983, ..., -0.9978, -0.9982, -0.9987]]]) [/INST]The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.</s>
<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-1.0000, -1.0000, -0.9999, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9998, -0.9997, -0.9996, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996]], [[-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-1.0000, -1.0000, -0.9999, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9998, -0.9997, -0.9996, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996]], [[-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-1.0000, -1.0000, -0.9999, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9998, -0.9997, -0.9996, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996]]]) [/INST]The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.</s>
<s>[INST] tensor([[[-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9990, -0.9990], [-0.9985, -0.9987, -0.9987, ..., -0.9994, -0.9993, -0.9993], [-0.9985, -0.9988, -0.9988, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9967, -0.9966, -0.9964, ..., -0.9971, -0.9973, -0.9975], [-0.9967, -0.9966, -0.9964, ..., -0.9970, -0.9973, -0.9975], [-0.9968, -0.9965, -0.9963, ..., -0.9969, -0.9971, -0.9974]], [[-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9990, -0.9990], [-0.9985, -0.9987, -0.9987, ..., -0.9994, -0.9993, -0.9993], [-0.9985, -0.9988, -0.9988, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9967, -0.9966, -0.9964, ..., -0.9971, -0.9973, -0.9975], [-0.9967, -0.9966, -0.9964, ..., -0.9970, -0.9973, -0.9975], [-0.9968, -0.9965, -0.9963, ..., -0.9969, -0.9971, -0.9974]], [[-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9990, -0.9990], [-0.9985, -0.9987, -0.9987, ..., -0.9994, -0.9993, -0.9993], [-0.9985, -0.9988, -0.9988, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9967, -0.9966, -0.9964, ..., -0.9971, -0.9973, -0.9975], [-0.9967, -0.9966, -0.9964, ..., -0.9970, -0.9973, -0.9975], [-0.9968, -0.9965, -0.9963, ..., -0.9969, -0.9971, -0.9974]]]) [/INST]The heart is enlarged. Changes of XXXX sternotomy and bypass graft are identified in the lungs are grossly clear. XXXX right pleural thickening versus XXXX pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.</s>
<s>[INST] tensor([[[-0.9952, -0.9953, -0.9954, ..., -0.9993, -0.9993, -0.9993], [-0.9950, -0.9951, -0.9952, ..., -0.9993, -0.9993, -0.9993], [-0.9947, -0.9949, -0.9950, ..., -0.9994, -0.9993, -0.9993], ..., [-0.9940, -0.9941, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9944, -0.9944, -0.9945, ..., -0.9995, -0.9995, -0.9995]], [[-0.9952, -0.9953, -0.9954, ..., -0.9993, -0.9993, -0.9993], [-0.9950, -0.9951, -0.9952, ..., -0.9993, -0.9993, -0.9993], [-0.9947, -0.9949, -0.9950, ..., -0.9994, -0.9993, -0.9993], ..., [-0.9940, -0.9941, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9944, -0.9944, -0.9945, ..., -0.9995, -0.9995, -0.9995]], [[-0.9952, -0.9953, -0.9954, ..., -0.9993, -0.9993, -0.9993], [-0.9950, -0.9951, -0.9952, ..., -0.9993, -0.9993, -0.9993], [-0.9947, -0.9949, -0.9950, ..., -0.9994, -0.9993, -0.9993], ..., [-0.9940, -0.9941, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9944, -0.9944, -0.9945, ..., -0.9995, -0.9995, -0.9995]]]) [/INST]The heart is enlarged. Changes of XXXX sternotomy and bypass graft are identified in the lungs are grossly clear. XXXX right pleural thickening versus XXXX pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.</s>
<s>[INST] tensor([[[-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9954, -0.9955, -0.9955, ..., -0.9995, -0.9995, -0.9995], [-0.9953, -0.9953, -0.9954, ..., -0.9995, -0.9995, -0.9995], [-0.9950, -0.9951, -0.9951, ..., -0.9995, -0.9995, -0.9995]], [[-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9954, -0.9955, -0.9955, ..., -0.9995, -0.9995, -0.9995], [-0.9953, -0.9953, -0.9954, ..., -0.9995, -0.9995, -0.9995], [-0.9950, -0.9951, -0.9951, ..., -0.9995, -0.9995, -0.9995]], [[-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9954, -0.9955, -0.9955, ..., -0.9995, -0.9995, -0.9995], [-0.9953, -0.9953, -0.9954, ..., -0.9995, -0.9995, -0.9995], [-0.9950, -0.9951, -0.9951, ..., -0.9995, -0.9995, -0.9995]]]) [/INST]There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.</s>
<s>[INST] tensor([[[-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9940, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9988, -0.9987, -0.9988]], [[-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9940, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9988, -0.9987, -0.9988]], [[-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9940, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9988, -0.9987, -0.9988]]]) [/INST]There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.</s>
<s>[INST] tensor([[[-0.9987, -0.9993, -0.9993, ..., -0.9995, -0.9994, -0.9994], [-0.9988, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9995], [-0.9990, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9989, -0.9993, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9989, -0.9991, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9976, -0.9976, -0.9976]], [[-0.9987, -0.9993, -0.9993, ..., -0.9995, -0.9994, -0.9994], [-0.9988, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9995], [-0.9990, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9989, -0.9993, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9989, -0.9991, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9976, -0.9976, -0.9976]], [[-0.9987, -0.9993, -0.9993, ..., -0.9995, -0.9994, -0.9994], [-0.9988, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9995], [-0.9990, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9989, -0.9993, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9989, -0.9991, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9976, -0.9976, -0.9976]]]) [/INST]The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.</s>
<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9993, -0.9994, -0.9995, ..., -0.9998, -0.9998, -0.9997], [-0.9986, -0.9989, -0.9990, ..., -0.9994, -0.9994, -0.9993], [-0.9984, -0.9990, -0.9990, ..., -0.9968, -0.9968, -0.9967]], [[-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9993, -0.9994, -0.9995, ..., -0.9998, -0.9998, -0.9997], [-0.9986, -0.9989, -0.9990, ..., -0.9994, -0.9994, -0.9993], [-0.9984, -0.9990, -0.9990, ..., -0.9968, -0.9968, -0.9967]], [[-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9993, -0.9994, -0.9995, ..., -0.9998, -0.9998, -0.9997], [-0.9986, -0.9989, -0.9990, ..., -0.9994, -0.9994, -0.9993], [-0.9984, -0.9990, -0.9990, ..., -0.9968, -0.9968, -0.9967]]]) [/INST]The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.</s>
<s>[INST] tensor([[[-0.9989, -0.9989, -0.9990, ..., -0.9973, -0.9974, -0.9974], [-0.9990, -0.9990, -0.9991, ..., -0.9971, -0.9972, -0.9973], [-0.9990, -0.9990, -0.9991, ..., -0.9970, -0.9970, -0.9971], ..., [-0.9992, -0.9991, -0.9991, ..., -0.9959, -0.9961, -0.9962], [-0.9991, -0.9991, -0.9992, ..., -0.9958, -0.9959, -0.9960], [-0.9991, -0.9991, -0.9992, ..., -0.9956, -0.9957, -0.9958]], [[-0.9989, -0.9989, -0.9990, ..., -0.9973, -0.9974, -0.9974], [-0.9990, -0.9990, -0.9991, ..., -0.9971, -0.9972, -0.9973], [-0.9990, -0.9990, -0.9991, ..., -0.9970, -0.9970, -0.9971], ..., [-0.9992, -0.9991, -0.9991, ..., -0.9959, -0.9961, -0.9962], [-0.9991, -0.9991, -0.9992, ..., -0.9958, -0.9959, -0.9960], [-0.9991, -0.9991, -0.9992, ..., -0.9956, -0.9957, -0.9958]], [[-0.9989, -0.9989, -0.9990, ..., -0.9973, -0.9974, -0.9974], [-0.9990, -0.9990, -0.9991, ..., -0.9971, -0.9972, -0.9973], [-0.9990, -0.9990, -0.9991, ..., -0.9970, -0.9970, -0.9971], ..., [-0.9992, -0.9991, -0.9991, ..., -0.9959, -0.9961, -0.9962], [-0.9991, -0.9991, -0.9992, ..., -0.9958, -0.9959, -0.9960], [-0.9991, -0.9991, -0.9992, ..., -0.9956, -0.9957, -0.9958]]]) [/INST]The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.</s>
<s>[INST] tensor([[[-0.9990, -0.9986, -0.9984, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9991, -0.9988, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9996, -0.9992, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9969, -0.9968, -0.9967, ..., -0.9948, -0.9948, -0.9945], [-0.9969, -0.9968, -0.9966, ..., -0.9946, -0.9945, -0.9936], [-0.9968, -0.9967, -0.9965, ..., -0.9934, -0.9934, -0.9930]], [[-0.9990, -0.9986, -0.9984, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9991, -0.9988, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9996, -0.9992, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9969, -0.9968, -0.9967, ..., -0.9948, -0.9948, -0.9945], [-0.9969, -0.9968, -0.9966, ..., -0.9946, -0.9945, -0.9936], [-0.9968, -0.9967, -0.9965, ..., -0.9934, -0.9934, -0.9930]], [[-0.9990, -0.9986, -0.9984, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9991, -0.9988, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9996, -0.9992, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9969, -0.9968, -0.9967, ..., -0.9948, -0.9948, -0.9945], [-0.9969, -0.9968, -0.9966, ..., -0.9946, -0.9945, -0.9936], [-0.9968, -0.9967, -0.9965, ..., -0.9934, -0.9934, -0.9930]]]) [/INST]The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.</s>
<s>[INST] tensor([[[-0.9981, -0.9981, -0.9981, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9989, -0.9989, -0.9988], [-0.9981, -0.9982, -0.9982, ..., -0.9990, -0.9989, -0.9989], ..., [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9943, -0.9945, -0.9947]], [[-0.9981, -0.9981, -0.9981, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9989, -0.9989, -0.9988], [-0.9981, -0.9982, -0.9982, ..., -0.9990, -0.9989, -0.9989], ..., [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9943, -0.9945, -0.9947]], [[-0.9981, -0.9981, -0.9981, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9989, -0.9989, -0.9988], [-0.9981, -0.9982, -0.9982, ..., -0.9990, -0.9989, -0.9989], ..., [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9943, -0.9945, -0.9947]]]) [/INST]The heart size is normal. There is prominent left epicardial fat. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.</s>
<s>[INST] tensor([[[-0.9976, -0.9978, -0.9978, ..., -0.9982, -0.9982, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9983, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9984, -0.9982], ..., [-0.9937, -0.9945, -0.9954, ..., -0.9982, -0.9982, -0.9981], [-0.9936, -0.9945, -0.9953, ..., -0.9966, -0.9965, -0.9964], [-0.9939, -0.9948, -0.9956, ..., -0.9941, -0.9940, -0.9938]], [[-0.9976, -0.9978, -0.9978, ..., -0.9982, -0.9982, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9983, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9984, -0.9982], ..., [-0.9937, -0.9945, -0.9954, ..., -0.9982, -0.9982, -0.9981], [-0.9936, -0.9945, -0.9953, ..., -0.9966, -0.9965, -0.9964], [-0.9939, -0.9948, -0.9956, ..., -0.9941, -0.9940, -0.9938]], [[-0.9976, -0.9978, -0.9978, ..., -0.9982, -0.9982, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9983, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9984, -0.9982], ..., [-0.9937, -0.9945, -0.9954, ..., -0.9982, -0.9982, -0.9981], [-0.9936, -0.9945, -0.9953, ..., -0.9966, -0.9965, -0.9964], [-0.9939, -0.9948, -0.9956, ..., -0.9941, -0.9940, -0.9938]]]) [/INST]Calcified left hilar lymph XXXX XXXX from prior granulomatous disease. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.</s>
<s>[INST] tensor([[[-0.9973, -0.9973, -0.9974, ..., -0.9987, -0.9987, -0.9986], [-0.9974, -0.9975, -0.9976, ..., -0.9988, -0.9987, -0.9987], [-0.9975, -0.9976, -0.9977, ..., -0.9988, -0.9987, -0.9986], ..., [-0.9942, -0.9950, -0.9959, ..., -0.9987, -0.9987, -0.9987], [-0.9942, -0.9951, -0.9960, ..., -0.9972, -0.9972, -0.9972], [-0.9947, -0.9957, -0.9966, ..., -0.9945, -0.9944, -0.9944]], [[-0.9973, -0.9973, -0.9974, ..., -0.9987, -0.9987, -0.9986], [-0.9974, -0.9975, -0.9976, ..., -0.9988, -0.9987, -0.9987], [-0.9975, -0.9976, -0.9977, ..., -0.9988, -0.9987, -0.9986], ..., [-0.9942, -0.9950, -0.9959, ..., -0.9987, -0.9987, -0.9987], [-0.9942, -0.9951, -0.9960, ..., -0.9972, -0.9972, -0.9972], [-0.9947, -0.9957, -0.9966, ..., -0.9945, -0.9944, -0.9944]], [[-0.9973, -0.9973, -0.9974, ..., -0.9987, -0.9987, -0.9986], [-0.9974, -0.9975, -0.9976, ..., -0.9988, -0.9987, -0.9987], [-0.9975, -0.9976, -0.9977, ..., -0.9988, -0.9987, -0.9986], ..., [-0.9942, -0.9950, -0.9959, ..., -0.9987, -0.9987, -0.9987], [-0.9942, -0.9951, -0.9960, ..., -0.9972, -0.9972, -0.9972], [-0.9947, -0.9957, -0.9966, ..., -0.9945, -0.9944, -0.9944]]]) [/INST]Calcified left hilar lymph XXXX XXXX from prior granulomatous disease. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.</s>
<s>[INST] tensor([[[-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9996, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9943, -0.9943, -0.9942, ..., -0.9970, -0.9972, -0.9974], [-0.9943, -0.9942, -0.9941, ..., -0.9968, -0.9971, -0.9973], [-0.9943, -0.9942, -0.9941, ..., -0.9965, -0.9969, -0.9971]], [[-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9996, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9943, -0.9943, -0.9942, ..., -0.9970, -0.9972, -0.9974], [-0.9943, -0.9942, -0.9941, ..., -0.9968, -0.9971, -0.9973], [-0.9943, -0.9942, -0.9941, ..., -0.9965, -0.9969, -0.9971]], [[-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9996, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9943, -0.9943, -0.9942, ..., -0.9970, -0.9972, -0.9974], [-0.9943, -0.9942, -0.9941, ..., -0.9968, -0.9971, -0.9973], [-0.9943, -0.9942, -0.9941, ..., -0.9965, -0.9969, -0.9971]]]) [/INST]Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.</s>
<s>[INST] tensor([[[-0.9947, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9948, -0.9947, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9934, -0.9934, ..., -0.9954, -0.9956, -0.9957], [-0.9935, -0.9934, -0.9934, ..., -0.9953, -0.9954, -0.9954], [-0.9938, -0.9938, -0.9938, ..., -0.9942, -0.9942, -0.9943]], [[-0.9947, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9948, -0.9947, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9934, -0.9934, ..., -0.9954, -0.9956, -0.9957], [-0.9935, -0.9934, -0.9934, ..., -0.9953, -0.9954, -0.9954], [-0.9938, -0.9938, -0.9938, ..., -0.9942, -0.9942, -0.9943]], [[-0.9947, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9948, -0.9947, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9934, -0.9934, ..., -0.9954, -0.9956, -0.9957], [-0.9935, -0.9934, -0.9934, ..., -0.9953, -0.9954, -0.9954], [-0.9938, -0.9938, -0.9938, ..., -0.9942, -0.9942, -0.9943]]]) [/INST]Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.</s>
<s>[INST] tensor([[[-0.9970, -0.9980, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], ..., [-0.9938, -0.9938, -0.9936, ..., -0.9940, -0.9942, -0.9943], [-0.9938, -0.9938, -0.9935, ..., -0.9939, -0.9942, -0.9943], [-0.9938, -0.9936, -0.9933, ..., -0.9938, -0.9941, -0.9945]], [[-0.9970, -0.9980, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], ..., [-0.9938, -0.9938, -0.9936, ..., -0.9940, -0.9942, -0.9943], [-0.9938, -0.9938, -0.9935, ..., -0.9939, -0.9942, -0.9943], [-0.9938, -0.9936, -0.9933, ..., -0.9938, -0.9941, -0.9945]], [[-0.9970, -0.9980, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], ..., [-0.9938, -0.9938, -0.9936, ..., -0.9940, -0.9942, -0.9943], [-0.9938, -0.9938, -0.9935, ..., -0.9939, -0.9942, -0.9943], [-0.9938, -0.9936, -0.9933, ..., -0.9938, -0.9941, -0.9945]]]) [/INST]2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is XXXX dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.</s>
<s>[INST] tensor([[[-0.9983, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9984, -0.9983, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9940, -0.9942, -0.9943, ..., -0.9961, -0.9958, -0.9955], [-0.9944, -0.9946, -0.9950, ..., -0.9962, -0.9959, -0.9956], [-0.9950, -0.9954, -0.9957, ..., -0.9964, -0.9960, -0.9959]], [[-0.9983, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9984, -0.9983, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9940, -0.9942, -0.9943, ..., -0.9961, -0.9958, -0.9955], [-0.9944, -0.9946, -0.9950, ..., -0.9962, -0.9959, -0.9956], [-0.9950, -0.9954, -0.9957, ..., -0.9964, -0.9960, -0.9959]], [[-0.9983, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9984, -0.9983, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9940, -0.9942, -0.9943, ..., -0.9961, -0.9958, -0.9955], [-0.9944, -0.9946, -0.9950, ..., -0.9962, -0.9959, -0.9956], [-0.9950, -0.9954, -0.9957, ..., -0.9964, -0.9960, -0.9959]]]) [/INST]2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is XXXX dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.</s>
<s>[INST] tensor([[[-0.9985, -0.9985, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9995, -0.9995, -0.9994], [-0.9985, -0.9985, -0.9985, ..., -0.9996, -0.9995, -0.9994], ..., [-0.9974, -0.9975, -0.9975, ..., -0.9986, -0.9985, -0.9984], [-0.9970, -0.9971, -0.9972, ..., -0.9982, -0.9982, -0.9981], [-0.9966, -0.9966, -0.9968, ..., -0.9978, -0.9978, -0.9977]], [[-0.9985, -0.9985, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9995, -0.9995, -0.9994], [-0.9985, -0.9985, -0.9985, ..., -0.9996, -0.9995, -0.9994], ..., [-0.9974, -0.9975, -0.9975, ..., -0.9986, -0.9985, -0.9984], [-0.9970, -0.9971, -0.9972, ..., -0.9982, -0.9982, -0.9981], [-0.9966, -0.9966, -0.9968, ..., -0.9978, -0.9978, -0.9977]], [[-0.9985, -0.9985, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9995, -0.9995, -0.9994], [-0.9985, -0.9985, -0.9985, ..., -0.9996, -0.9995, -0.9994], ..., [-0.9974, -0.9975, -0.9975, ..., -0.9986, -0.9985, -0.9984], [-0.9970, -0.9971, -0.9972, ..., -0.9982, -0.9982, -0.9981], [-0.9966, -0.9966, -0.9968, ..., -0.9978, -0.9978, -0.9977]]]) [/INST]No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.</s>
<s>[INST] tensor([[[-0.9936, -0.9936, -0.9936, ..., -0.9993, -0.9993, -0.9993], [-0.9935, -0.9935, -0.9935, ..., -0.9993, -0.9993, -0.9993], [-0.9933, -0.9933, -0.9933, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9985, -0.9985, -0.9985]], [[-0.9936, -0.9936, -0.9936, ..., -0.9993, -0.9993, -0.9993], [-0.9935, -0.9935, -0.9935, ..., -0.9993, -0.9993, -0.9993], [-0.9933, -0.9933, -0.9933, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9985, -0.9985, -0.9985]], [[-0.9936, -0.9936, -0.9936, ..., -0.9993, -0.9993, -0.9993], [-0.9935, -0.9935, -0.9935, ..., -0.9993, -0.9993, -0.9993], [-0.9933, -0.9933, -0.9933, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9985, -0.9985, -0.9985]]]) [/INST]No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.</s>
<s>[INST] tensor([[[-0.9985, -0.9985, -0.9985, ..., -0.9982, -0.9978, -0.9978], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9979, -0.9979], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9979, -0.9975, -0.9972, ..., -0.9983, -0.9983, -0.9984], [-0.9977, -0.9974, -0.9971, ..., -0.9983, -0.9984, -0.9984], [-0.9974, -0.9972, -0.9969, ..., -0.9983, -0.9982, -0.9983]], [[-0.9985, -0.9985, -0.9985, ..., -0.9982, -0.9978, -0.9978], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9979, -0.9979], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9979, -0.9975, -0.9972, ..., -0.9983, -0.9983, -0.9984], [-0.9977, -0.9974, -0.9971, ..., -0.9983, -0.9984, -0.9984], [-0.9974, -0.9972, -0.9969, ..., -0.9983, -0.9982, -0.9983]], [[-0.9985, -0.9985, -0.9985, ..., -0.9982, -0.9978, -0.9978], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9979, -0.9979], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9979, -0.9975, -0.9972, ..., -0.9983, -0.9983, -0.9984], [-0.9977, -0.9974, -0.9971, ..., -0.9983, -0.9984, -0.9984], [-0.9974, -0.9972, -0.9969, ..., -0.9983, -0.9982, -0.9983]]]) [/INST]The XXXX and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic XXXX is on the left. The trachea is well seen and appears normal. The lungs are clear.</s>
<s>[INST] tensor([[[-0.9988, -0.9988, -0.9988, ..., -0.9986, -0.9984, -0.9982], [-0.9988, -0.9988, -0.9987, ..., -0.9987, -0.9984, -0.9983], [-0.9987, -0.9987, -0.9987, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9987, -0.9986, -0.9979, ..., -0.9989, -0.9989, -0.9988], [-0.9988, -0.9984, -0.9978, ..., -0.9989, -0.9989, -0.9989], [-0.9986, -0.9983, -0.9978, ..., -0.9989, -0.9988, -0.9989]], [[-0.9988, -0.9988, -0.9988, ..., -0.9986, -0.9984, -0.9982], [-0.9988, -0.9988, -0.9987, ..., -0.9987, -0.9984, -0.9983], [-0.9987, -0.9987, -0.9987, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9987, -0.9986, -0.9979, ..., -0.9989, -0.9989, -0.9988], [-0.9988, -0.9984, -0.9978, ..., -0.9989, -0.9989, -0.9989], [-0.9986, -0.9983, -0.9978, ..., -0.9989, -0.9988, -0.9989]], [[-0.9988, -0.9988, -0.9988, ..., -0.9986, -0.9984, -0.9982], [-0.9988, -0.9988, -0.9987, ..., -0.9987, -0.9984, -0.9983], [-0.9987, -0.9987, -0.9987, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9987, -0.9986, -0.9979, ..., -0.9989, -0.9989, -0.9988], [-0.9988, -0.9984, -0.9978, ..., -0.9989, -0.9989, -0.9989], [-0.9986, -0.9983, -0.9978, ..., -0.9989, -0.9988, -0.9989]]]) [/INST]The XXXX and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic XXXX is on the left. The trachea is well seen and appears normal. The lungs are clear.</s>
<s>[INST] tensor([[[-0.9992, -0.9991, -0.9991, ..., -0.9957, -0.9961, -0.9993], [-0.9991, -0.9990, -0.9990, ..., -0.9975, -0.9971, -0.9994], [-0.9991, -0.9990, -0.9991, ..., -0.9986, -0.9982, -0.9994], ..., [-0.9944, -0.9941, -0.9943, ..., -0.9986, -0.9986, -0.9994], [-0.9944, -0.9941, -0.9941, ..., -0.9984, -0.9984, -0.9994], [-0.9947, -0.9944, -0.9944, ..., -0.9983, -0.9982, -0.9994]], [[-0.9992, -0.9991, -0.9991, ..., -0.9957, -0.9961, -0.9993], [-0.9991, -0.9990, -0.9990, ..., -0.9975, -0.9971, -0.9994], [-0.9991, -0.9990, -0.9991, ..., -0.9986, -0.9982, -0.9994], ..., [-0.9944, -0.9941, -0.9943, ..., -0.9986, -0.9986, -0.9994], [-0.9944, -0.9941, -0.9941, ..., -0.9984, -0.9984, -0.9994], [-0.9947, -0.9944, -0.9944, ..., -0.9983, -0.9982, -0.9994]], [[-0.9992, -0.9991, -0.9991, ..., -0.9957, -0.9961, -0.9993], [-0.9991, -0.9990, -0.9990, ..., -0.9975, -0.9971, -0.9994], [-0.9991, -0.9990, -0.9991, ..., -0.9986, -0.9982, -0.9994], ..., [-0.9944, -0.9941, -0.9943, ..., -0.9986, -0.9986, -0.9994], [-0.9944, -0.9941, -0.9941, ..., -0.9984, -0.9984, -0.9994], [-0.9947, -0.9944, -0.9944, ..., -0.9983, -0.9982, -0.9994]]]) [/INST]Lungs appear clear. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.</s>
<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9949, -0.9944, -0.9942], [-0.9922, -0.9922, -0.9922, ..., -0.9945, -0.9942, -0.9941], [-0.9922, -0.9922, -0.9922, ..., -0.9942, -0.9939, -0.9939]], [[-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9949, -0.9944, -0.9942], [-0.9922, -0.9922, -0.9922, ..., -0.9945, -0.9942, -0.9941], [-0.9922, -0.9922, -0.9922, ..., -0.9942, -0.9939, -0.9939]], [[-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9949, -0.9944, -0.9942], [-0.9922, -0.9922, -0.9922, ..., -0.9945, -0.9942, -0.9941], [-0.9922, -0.9922, -0.9922, ..., -0.9942, -0.9939, -0.9939]]]) [/INST]Lungs appear clear. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.</s>
<s>[INST] tensor([[[-0.9986, -0.9986, -0.9987, ..., -0.9992, -0.9992, -0.9992], [-0.9986, -0.9986, -0.9987, ..., -0.9991, -0.9992, -0.9992], [-0.9986, -0.9987, -0.9988, ..., -0.9984, -0.9988, -0.9991], ..., [-0.9962, -0.9969, -0.9976, ..., -0.9974, -0.9973, -0.9972], [-0.9962, -0.9968, -0.9977, ..., -0.9966, -0.9966, -0.9964], [-0.9962, -0.9968, -0.9978, ..., -0.9957, -0.9956, -0.9954]], [[-0.9986, -0.9986, -0.9987, ..., -0.9992, -0.9992, -0.9992], [-0.9986, -0.9986, -0.9987, ..., -0.9991, -0.9992, -0.9992], [-0.9986, -0.9987, -0.9988, ..., -0.9984, -0.9988, -0.9991], ..., [-0.9962, -0.9969, -0.9976, ..., -0.9974, -0.9973, -0.9972], [-0.9962, -0.9968, -0.9977, ..., -0.9966, -0.9966, -0.9964], [-0.9962, -0.9968, -0.9978, ..., -0.9957, -0.9956, -0.9954]], [[-0.9986, -0.9986, -0.9987, ..., -0.9992, -0.9992, -0.9992], [-0.9986, -0.9986, -0.9987, ..., -0.9991, -0.9992, -0.9992], [-0.9986, -0.9987, -0.9988, ..., -0.9984, -0.9988, -0.9991], ..., [-0.9962, -0.9969, -0.9976, ..., -0.9974, -0.9973, -0.9972], [-0.9962, -0.9968, -0.9977, ..., -0.9966, -0.9966, -0.9964], [-0.9962, -0.9968, -0.9978, ..., -0.9957, -0.9956, -0.9954]]]) [/INST]The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.</s>
<s>[INST] tensor([[[-0.9936, -0.9936, -0.9936, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9932, -0.9932, -0.9932, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9933, -0.9933, -0.9933, ..., -0.9958, -0.9958, -0.9959], [-0.9933, -0.9933, -0.9932, ..., -0.9956, -0.9956, -0.9956], [-0.9933, -0.9933, -0.9932, ..., -0.9939, -0.9940, -0.9940]], [[-0.9936, -0.9936, -0.9936, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9932, -0.9932, -0.9932, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9933, -0.9933, -0.9933, ..., -0.9958, -0.9958, -0.9959], [-0.9933, -0.9933, -0.9932, ..., -0.9956, -0.9956, -0.9956], [-0.9933, -0.9933, -0.9932, ..., -0.9939, -0.9940, -0.9940]], [[-0.9936, -0.9936, -0.9936, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9932, -0.9932, -0.9932, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9933, -0.9933, -0.9933, ..., -0.9958, -0.9958, -0.9959], [-0.9933, -0.9933, -0.9932, ..., -0.9956, -0.9956, -0.9956], [-0.9933, -0.9933, -0.9932, ..., -0.9939, -0.9940, -0.9940]]]) [/INST]The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.</s>
<s>[INST] tensor([[[-0.9981, -0.9982, -0.9982, ..., -0.9993, -0.9992, -0.9991], [-0.9982, -0.9982, -0.9982, ..., -0.9994, -0.9993, -0.9992], [-0.9981, -0.9982, -0.9982, ..., -0.9994, -0.9994, -0.9992], ..., [-0.9982, -0.9982, -0.9982, ..., -0.9990, -0.9988, -0.9985], [-0.9980, -0.9980, -0.9980, ..., -0.9987, -0.9985, -0.9983], [-0.9976, -0.9976, -0.9976, ..., -0.9983, -0.9981, -0.9980]], [[-0.9981, -0.9982, -0.9982, ..., -0.9993, -0.9992, -0.9991], [-0.9982, -0.9982, -0.9982, ..., -0.9994, -0.9993, -0.9992], [-0.9981, -0.9982, -0.9982, ..., -0.9994, -0.9994, -0.9992], ..., [-0.9982, -0.9982, -0.9982, ..., -0.9990, -0.9988, -0.9985], [-0.9980, -0.9980, -0.9980, ..., -0.9987, -0.9985, -0.9983], [-0.9976, -0.9976, -0.9976, ..., -0.9983, -0.9981, -0.9980]], [[-0.9981, -0.9982, -0.9982, ..., -0.9993, -0.9992, -0.9991], [-0.9982, -0.9982, -0.9982, ..., -0.9994, -0.9993, -0.9992], [-0.9981, -0.9982, -0.9982, ..., -0.9994, -0.9994, -0.9992], ..., [-0.9982, -0.9982, -0.9982, ..., -0.9990, -0.9988, -0.9985], [-0.9980, -0.9980, -0.9980, ..., -0.9987, -0.9985, -0.9983], [-0.9976, -0.9976, -0.9976, ..., -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([[[-0.9995, -0.9996, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9993, -0.9994, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9953, -0.9951, -0.9949, ..., -0.9994, -0.9993, -0.9965], [-0.9955, -0.9953, -0.9950, ..., -0.9992, -0.9992, -0.9970], [-0.9958, -0.9955, -0.9953, ..., -0.9975, -0.9975, -0.9970]], [[-0.9995, -0.9996, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9993, -0.9994, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9953, -0.9951, -0.9949, ..., -0.9994, -0.9993, -0.9965], [-0.9955, -0.9953, -0.9950, ..., -0.9992, -0.9992, -0.9970], [-0.9958, -0.9955, -0.9953, ..., -0.9975, -0.9975, -0.9970]], [[-0.9995, -0.9996, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9993, -0.9994, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9953, -0.9951, -0.9949, ..., -0.9994, -0.9993, -0.9965], [-0.9955, -0.9953, -0.9950, ..., -0.9992, -0.9992, -0.9970], [-0.9958, -0.9955, -0.9953, ..., -0.9975, -0.9975, -0.9970]]]) [/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([[[-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], [-0.9999, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], ..., [-0.9987, -0.9988, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9996, -0.9996, -0.9996, ..., -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, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], [-0.9999, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], ..., [-0.9987, -0.9988, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9996, -0.9996, -0.9996, ..., -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, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], [-0.9999, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], ..., [-0.9987, -0.9988, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9996, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The trachea is midline. Cardiomediastinal silhouette is normal. There is a calcified density in the left mid lung, most XXXX a calcified granuloma. Lungs are otherwise clear, without evidence of acute infiltrate or effusion. Specifically, there is no evidence of tuberculous disease. There is no pneumothorax. The bony structures show no acute abnormalities.</s>
<s>[INST] tensor([[[-0.9996, -0.9996, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9995, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9994, -0.9993, ..., -0.9998, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000]], [[-0.9996, -0.9996, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9995, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9994, -0.9993, ..., -0.9998, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000]], [[-0.9996, -0.9996, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9995, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9994, -0.9993, ..., -0.9998, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000]]]) [/INST]The trachea is midline. Cardiomediastinal silhouette is normal. There is a calcified density in the left mid lung, most XXXX a calcified granuloma. Lungs are otherwise clear, without evidence of acute infiltrate or effusion. Specifically, there is no evidence of tuberculous disease. There is no pneumothorax. The bony structures show no acute abnormalities.</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], ..., [-0.9987, -0.9979, -0.9973, ..., -0.9990, -0.9989, -0.9991], [-0.9976, -0.9967, -0.9960, ..., -0.9978, -0.9977, -0.9983], [-0.9965, -0.9960, -0.9956, ..., -0.9976, -0.9976, -0.9982]], [[-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], ..., [-0.9987, -0.9979, -0.9973, ..., -0.9990, -0.9989, -0.9991], [-0.9976, -0.9967, -0.9960, ..., -0.9978, -0.9977, -0.9983], [-0.9965, -0.9960, -0.9956, ..., -0.9976, -0.9976, -0.9982]], [[-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], ..., [-0.9987, -0.9979, -0.9973, ..., -0.9990, -0.9989, -0.9991], [-0.9976, -0.9967, -0.9960, ..., -0.9978, -0.9977, -0.9983], [-0.9965, -0.9960, -0.9956, ..., -0.9976, -0.9976, -0.9982]]]) [/INST]The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.</s>
<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9996, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9998, -0.9997, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9999, -0.9997, -0.9998], ..., [-0.9966, -0.9965, -0.9964, ..., -0.9999, -0.9997, -0.9997], [-0.9961, -0.9960, -0.9960, ..., -0.9999, -0.9998, -0.9998], [-0.9964, -0.9963, -0.9963, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9996, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9998, -0.9997, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9999, -0.9997, -0.9998], ..., [-0.9966, -0.9965, -0.9964, ..., -0.9999, -0.9997, -0.9997], [-0.9961, -0.9960, -0.9960, ..., -0.9999, -0.9998, -0.9998], [-0.9964, -0.9963, -0.9963, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9996, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9998, -0.9997, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9999, -0.9997, -0.9998], ..., [-0.9966, -0.9965, -0.9964, ..., -0.9999, -0.9997, -0.9997], [-0.9961, -0.9960, -0.9960, ..., -0.9999, -0.9998, -0.9998], [-0.9964, -0.9963, -0.9963, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.</s>
<s>[INST] tensor([[[-0.9988, -0.9989, -0.9989, ..., -0.9942, -0.9940, -0.9942], [-0.9995, -0.9995, -0.9995, ..., -0.9944, -0.9942, -0.9944], [-0.9995, -0.9995, -0.9995, ..., -0.9945, -0.9943, -0.9945], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9939, -0.9929, -0.9930], [-0.9992, -0.9993, -0.9994, ..., -0.9930, -0.9925, -0.9927], [-0.9982, -0.9984, -0.9986, ..., -0.9923, -0.9922, -0.9926]], [[-0.9988, -0.9989, -0.9989, ..., -0.9942, -0.9940, -0.9942], [-0.9995, -0.9995, -0.9995, ..., -0.9944, -0.9942, -0.9944], [-0.9995, -0.9995, -0.9995, ..., -0.9945, -0.9943, -0.9945], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9939, -0.9929, -0.9930], [-0.9992, -0.9993, -0.9994, ..., -0.9930, -0.9925, -0.9927], [-0.9982, -0.9984, -0.9986, ..., -0.9923, -0.9922, -0.9926]], [[-0.9988, -0.9989, -0.9989, ..., -0.9942, -0.9940, -0.9942], [-0.9995, -0.9995, -0.9995, ..., -0.9944, -0.9942, -0.9944], [-0.9995, -0.9995, -0.9995, ..., -0.9945, -0.9943, -0.9945], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9939, -0.9929, -0.9930], [-0.9992, -0.9993, -0.9994, ..., -0.9930, -0.9925, -0.9927], [-0.9982, -0.9984, -0.9986, ..., -0.9923, -0.9922, -0.9926]]]) [/INST]No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.</s>
<s>[INST] tensor([[[-0.9957, -0.9958, -0.9958, ..., -0.9981, -0.9980, -0.9981], [-0.9967, -0.9969, -0.9970, ..., -0.9983, -0.9982, -0.9983], [-0.9964, -0.9966, -0.9968, ..., -0.9984, -0.9983, -0.9984], ..., [-0.9963, -0.9963, -0.9962, ..., -0.9996, -0.9983, -0.9977], [-0.9956, -0.9956, -0.9955, ..., -0.9991, -0.9980, -0.9975], [-0.9947, -0.9947, -0.9947, ..., -0.9980, -0.9975, -0.9973]], [[-0.9957, -0.9958, -0.9958, ..., -0.9981, -0.9980, -0.9981], [-0.9967, -0.9969, -0.9970, ..., -0.9983, -0.9982, -0.9983], [-0.9964, -0.9966, -0.9968, ..., -0.9984, -0.9983, -0.9984], ..., [-0.9963, -0.9963, -0.9962, ..., -0.9996, -0.9983, -0.9977], [-0.9956, -0.9956, -0.9955, ..., -0.9991, -0.9980, -0.9975], [-0.9947, -0.9947, -0.9947, ..., -0.9980, -0.9975, -0.9973]], [[-0.9957, -0.9958, -0.9958, ..., -0.9981, -0.9980, -0.9981], [-0.9967, -0.9969, -0.9970, ..., -0.9983, -0.9982, -0.9983], [-0.9964, -0.9966, -0.9968, ..., -0.9984, -0.9983, -0.9984], ..., [-0.9963, -0.9963, -0.9962, ..., -0.9996, -0.9983, -0.9977], [-0.9956, -0.9956, -0.9955, ..., -0.9991, -0.9980, -0.9975], [-0.9947, -0.9947, -0.9947, ..., -0.9980, -0.9975, -0.9973]]]) [/INST]No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.</s>
<s>[INST] tensor([[[-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9983, -0.9983, -0.9983], [-0.9979, -0.9979, -0.9979, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9943, -0.9941, -0.9938, ..., -0.9977, -0.9977, -0.9976], [-0.9940, -0.9939, -0.9936, ..., -0.9967, -0.9967, -0.9967], [-0.9936, -0.9935, -0.9933, ..., -0.9956, -0.9956, -0.9953]], [[-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9983, -0.9983, -0.9983], [-0.9979, -0.9979, -0.9979, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9943, -0.9941, -0.9938, ..., -0.9977, -0.9977, -0.9976], [-0.9940, -0.9939, -0.9936, ..., -0.9967, -0.9967, -0.9967], [-0.9936, -0.9935, -0.9933, ..., -0.9956, -0.9956, -0.9953]], [[-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9983, -0.9983, -0.9983], [-0.9979, -0.9979, -0.9979, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9943, -0.9941, -0.9938, ..., -0.9977, -0.9977, -0.9976], [-0.9940, -0.9939, -0.9936, ..., -0.9967, -0.9967, -0.9967], [-0.9936, -0.9935, -0.9933, ..., -0.9956, -0.9956, -0.9953]]]) [/INST]The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.</s>
<s>[INST] tensor([[[-0.9984, -0.9984, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9994, -0.9994, -0.9994], [-0.9986, -0.9986, -0.9987, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9928, -0.9927, ..., -0.9996, -0.9996, -0.9996], [-0.9926, -0.9926, -0.9925, ..., -0.9994, -0.9994, -0.9993], [-0.9925, -0.9925, -0.9925, ..., -0.9972, -0.9971, -0.9969]], [[-0.9984, -0.9984, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9994, -0.9994, -0.9994], [-0.9986, -0.9986, -0.9987, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9928, -0.9927, ..., -0.9996, -0.9996, -0.9996], [-0.9926, -0.9926, -0.9925, ..., -0.9994, -0.9994, -0.9993], [-0.9925, -0.9925, -0.9925, ..., -0.9972, -0.9971, -0.9969]], [[-0.9984, -0.9984, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9994, -0.9994, -0.9994], [-0.9986, -0.9986, -0.9987, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9928, -0.9927, ..., -0.9996, -0.9996, -0.9996], [-0.9926, -0.9926, -0.9925, ..., -0.9994, -0.9994, -0.9993], [-0.9925, -0.9925, -0.9925, ..., -0.9972, -0.9971, -0.9969]]]) [/INST]The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.</s>
<s>[INST] tensor([[[-0.9976, -0.9975, -0.9970, ..., -0.9975, -0.9975, -0.9975], [-0.9976, -0.9976, -0.9969, ..., -0.9976, -0.9976, -0.9976], [-0.9976, -0.9976, -0.9971, ..., -0.9976, -0.9976, -0.9976], ..., [-0.9976, -0.9974, -0.9969, ..., -0.9955, -0.9951, -0.9947], [-0.9976, -0.9973, -0.9969, ..., -0.9954, -0.9951, -0.9953], [-0.9973, -0.9973, -0.9968, ..., -0.9955, -0.9953, -0.9952]], [[-0.9976, -0.9975, -0.9970, ..., -0.9975, -0.9975, -0.9975], [-0.9976, -0.9976, -0.9969, ..., -0.9976, -0.9976, -0.9976], [-0.9976, -0.9976, -0.9971, ..., -0.9976, -0.9976, -0.9976], ..., [-0.9976, -0.9974, -0.9969, ..., -0.9955, -0.9951, -0.9947], [-0.9976, -0.9973, -0.9969, ..., -0.9954, -0.9951, -0.9953], [-0.9973, -0.9973, -0.9968, ..., -0.9955, -0.9953, -0.9952]], [[-0.9976, -0.9975, -0.9970, ..., -0.9975, -0.9975, -0.9975], [-0.9976, -0.9976, -0.9969, ..., -0.9976, -0.9976, -0.9976], [-0.9976, -0.9976, -0.9971, ..., -0.9976, -0.9976, -0.9976], ..., [-0.9976, -0.9974, -0.9969, ..., -0.9955, -0.9951, -0.9947], [-0.9976, -0.9973, -0.9969, ..., -0.9954, -0.9951, -0.9953], [-0.9973, -0.9973, -0.9968, ..., -0.9955, -0.9953, -0.9952]]]) [/INST]There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.</s>
<s>[INST] tensor([[[-0.9929, -0.9929, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9937, -0.9937, -0.9937, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9972, -0.9977], [-0.9931, -0.9932, -0.9933, ..., -0.9970, -0.9975, -0.9984], [-0.9933, -0.9934, -0.9935, ..., -0.9975, -0.9982, -0.9992]], [[-0.9929, -0.9929, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9937, -0.9937, -0.9937, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9972, -0.9977], [-0.9931, -0.9932, -0.9933, ..., -0.9970, -0.9975, -0.9984], [-0.9933, -0.9934, -0.9935, ..., -0.9975, -0.9982, -0.9992]], [[-0.9929, -0.9929, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9937, -0.9937, -0.9937, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9972, -0.9977], [-0.9931, -0.9932, -0.9933, ..., -0.9970, -0.9975, -0.9984], [-0.9933, -0.9934, -0.9935, ..., -0.9975, -0.9982, -0.9992]]]) [/INST]There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.</s>
<s>[INST] tensor([[[-0.9979, -0.9978, -0.9978, ..., -0.9991, -0.9996, -0.9996], [-0.9986, -0.9986, -0.9986, ..., -0.9994, -0.9997, -0.9998], [-0.9993, -0.9991, -0.9991, ..., -0.9996, -0.9998, -0.9998], ..., [-0.9922, -0.9923, -0.9924, ..., -0.9993, -0.9993, -0.9993], [-0.9924, -0.9925, -0.9925, ..., -0.9993, -0.9993, -0.9993], [-0.9928, -0.9929, -0.9929, ..., -0.9993, -0.9993, -0.9993]], [[-0.9979, -0.9978, -0.9978, ..., -0.9991, -0.9996, -0.9996], [-0.9986, -0.9986, -0.9986, ..., -0.9994, -0.9997, -0.9998], [-0.9993, -0.9991, -0.9991, ..., -0.9996, -0.9998, -0.9998], ..., [-0.9922, -0.9923, -0.9924, ..., -0.9993, -0.9993, -0.9993], [-0.9924, -0.9925, -0.9925, ..., -0.9993, -0.9993, -0.9993], [-0.9928, -0.9929, -0.9929, ..., -0.9993, -0.9993, -0.9993]], [[-0.9979, -0.9978, -0.9978, ..., -0.9991, -0.9996, -0.9996], [-0.9986, -0.9986, -0.9986, ..., -0.9994, -0.9997, -0.9998], [-0.9993, -0.9991, -0.9991, ..., -0.9996, -0.9998, -0.9998], ..., [-0.9922, -0.9923, -0.9924, ..., -0.9993, -0.9993, -0.9993], [-0.9924, -0.9925, -0.9925, ..., -0.9993, -0.9993, -0.9993], [-0.9928, -0.9929, -0.9929, ..., -0.9993, -0.9993, -0.9993]]]) [/INST]There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.</s>
<s>[INST] tensor([[[-0.9990, -0.9990, -0.9989, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9991, -0.9991, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9955, -0.9954, -0.9953, ..., -0.9962, -0.9963, -0.9963], [-0.9958, -0.9957, -0.9956, ..., -0.9959, -0.9960, -0.9960], [-0.9961, -0.9960, -0.9959, ..., -0.9935, -0.9935, -0.9935]], [[-0.9990, -0.9990, -0.9989, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9991, -0.9991, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9955, -0.9954, -0.9953, ..., -0.9962, -0.9963, -0.9963], [-0.9958, -0.9957, -0.9956, ..., -0.9959, -0.9960, -0.9960], [-0.9961, -0.9960, -0.9959, ..., -0.9935, -0.9935, -0.9935]], [[-0.9990, -0.9990, -0.9989, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9991, -0.9991, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9955, -0.9954, -0.9953, ..., -0.9962, -0.9963, -0.9963], [-0.9958, -0.9957, -0.9956, ..., -0.9959, -0.9960, -0.9960], [-0.9961, -0.9960, -0.9959, ..., -0.9935, -0.9935, -0.9935]]]) [/INST]XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.</s>
<s>[INST] tensor([[[-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9992, -0.9992], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9993, -0.9991, ..., -0.9988, -0.9987, -0.9986]], [[-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9992, -0.9992], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9993, -0.9991, ..., -0.9988, -0.9987, -0.9986]], [[-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9992, -0.9992], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9993, -0.9991, ..., -0.9988, -0.9987, -0.9986]]]) [/INST]XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.</s>
<s>[INST] tensor([[[-0.9976, -0.9976, -0.9976, ..., -0.9981, -0.9978, -0.9977], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9979, -0.9979], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9982, -0.9982], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9983, -0.9983, -0.9982], [-0.9986, -0.9986, -0.9986, ..., -0.9980, -0.9979, -0.9979], [-0.9982, -0.9982, -0.9982, ..., -0.9973, -0.9973, -0.9973]], [[-0.9976, -0.9976, -0.9976, ..., -0.9981, -0.9978, -0.9977], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9979, -0.9979], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9982, -0.9982], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9983, -0.9983, -0.9982], [-0.9986, -0.9986, -0.9986, ..., -0.9980, -0.9979, -0.9979], [-0.9982, -0.9982, -0.9982, ..., -0.9973, -0.9973, -0.9973]], [[-0.9976, -0.9976, -0.9976, ..., -0.9981, -0.9978, -0.9977], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9979, -0.9979], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9982, -0.9982], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9983, -0.9983, -0.9982], [-0.9986, -0.9986, -0.9986, ..., -0.9980, -0.9979, -0.9979], [-0.9982, -0.9982, -0.9982, ..., -0.9973, -0.9973, -0.9973]]]) [/INST]XXXX XXXX and lateral views of the chest were obtained on XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.</s>
<s>[INST] tensor([[[-0.9985, -0.9985, -0.9985, ..., -0.9987, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9989, -0.9985, -0.9986], [-0.9986, -0.9985, -0.9985, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9976, -0.9976, -0.9976], [-0.9979, -0.9979, -0.9979, ..., -0.9970, -0.9970, -0.9969], [-0.9976, -0.9976, -0.9976, ..., -0.9964, -0.9964, -0.9964]], [[-0.9985, -0.9985, -0.9985, ..., -0.9987, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9989, -0.9985, -0.9986], [-0.9986, -0.9985, -0.9985, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9976, -0.9976, -0.9976], [-0.9979, -0.9979, -0.9979, ..., -0.9970, -0.9970, -0.9969], [-0.9976, -0.9976, -0.9976, ..., -0.9964, -0.9964, -0.9964]], [[-0.9985, -0.9985, -0.9985, ..., -0.9987, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9989, -0.9985, -0.9986], [-0.9986, -0.9985, -0.9985, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9976, -0.9976, -0.9976], [-0.9979, -0.9979, -0.9979, ..., -0.9970, -0.9970, -0.9969], [-0.9976, -0.9976, -0.9976, ..., -0.9964, -0.9964, -0.9964]]]) [/INST]XXXX XXXX and lateral views of the chest were obtained on XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.</s>
<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9975, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9973, -0.9977], [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9974, -0.9978], [-0.9993, -0.9993, -0.9993, ..., -0.9969, -0.9976, -0.9978]], [[-0.9993, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9975, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9973, -0.9977], [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9974, -0.9978], [-0.9993, -0.9993, -0.9993, ..., -0.9969, -0.9976, -0.9978]], [[-0.9993, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9975, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9973, -0.9977], [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9974, -0.9978], [-0.9993, -0.9993, -0.9993, ..., -0.9969, -0.9976, -0.9978]]]) [/INST]No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.</s>
<s>[INST] tensor([[[-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9966, -0.9958], [-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9967, -0.9959], [-0.9991, -0.9991, -0.9991, ..., -0.9985, -0.9968, -0.9959], ..., [-0.9976, -0.9974, -0.9972, ..., -0.9966, -0.9961, -0.9959], [-0.9976, -0.9974, -0.9973, ..., -0.9965, -0.9960, -0.9958], [-0.9984, -0.9982, -0.9981, ..., -0.9966, -0.9961, -0.9959]], [[-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9966, -0.9958], [-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9967, -0.9959], [-0.9991, -0.9991, -0.9991, ..., -0.9985, -0.9968, -0.9959], ..., [-0.9976, -0.9974, -0.9972, ..., -0.9966, -0.9961, -0.9959], [-0.9976, -0.9974, -0.9973, ..., -0.9965, -0.9960, -0.9958], [-0.9984, -0.9982, -0.9981, ..., -0.9966, -0.9961, -0.9959]], [[-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9966, -0.9958], [-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9967, -0.9959], [-0.9991, -0.9991, -0.9991, ..., -0.9985, -0.9968, -0.9959], ..., [-0.9976, -0.9974, -0.9972, ..., -0.9966, -0.9961, -0.9959], [-0.9976, -0.9974, -0.9973, ..., -0.9965, -0.9960, -0.9958], [-0.9984, -0.9982, -0.9981, ..., -0.9966, -0.9961, -0.9959]]]) [/INST]No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.</s>
<s>[INST] tensor([[[-0.9993, -0.9996, -0.9995, ..., -0.9953, -0.9967, -0.9989], [-0.9997, -0.9998, -0.9998, ..., -0.9994, -0.9995, -0.9994], [-0.9997, -0.9998, -0.9998, ..., -0.9996, -0.9996, -0.9994], ..., [-0.9997, -0.9998, -0.9996, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9998, -0.9997, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9997, -0.9996, ..., -0.9994, -0.9994, -0.9992]], [[-0.9993, -0.9996, -0.9995, ..., -0.9953, -0.9967, -0.9989], [-0.9997, -0.9998, -0.9998, ..., -0.9994, -0.9995, -0.9994], [-0.9997, -0.9998, -0.9998, ..., -0.9996, -0.9996, -0.9994], ..., [-0.9997, -0.9998, -0.9996, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9998, -0.9997, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9997, -0.9996, ..., -0.9994, -0.9994, -0.9992]], [[-0.9993, -0.9996, -0.9995, ..., -0.9953, -0.9967, -0.9989], [-0.9997, -0.9998, -0.9998, ..., -0.9994, -0.9995, -0.9994], [-0.9997, -0.9998, -0.9998, ..., -0.9996, -0.9996, -0.9994], ..., [-0.9997, -0.9998, -0.9996, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9998, -0.9997, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9997, -0.9996, ..., -0.9994, -0.9994, -0.9992]]]) [/INST]The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.</s>
<s>[INST] tensor([[[-0.9979, -0.9980, -0.9980, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9980, -0.9980, -0.9980, ..., -0.9976, -0.9978, -0.9983], [-0.9981, -0.9981, -0.9981, ..., -0.9975, -0.9978, -0.9983], [-0.9980, -0.9980, -0.9981, ..., -0.9974, -0.9977, -0.9983]], [[-0.9979, -0.9980, -0.9980, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9980, -0.9980, -0.9980, ..., -0.9976, -0.9978, -0.9983], [-0.9981, -0.9981, -0.9981, ..., -0.9975, -0.9978, -0.9983], [-0.9980, -0.9980, -0.9981, ..., -0.9974, -0.9977, -0.9983]], [[-0.9979, -0.9980, -0.9980, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9980, -0.9980, -0.9980, ..., -0.9976, -0.9978, -0.9983], [-0.9981, -0.9981, -0.9981, ..., -0.9975, -0.9978, -0.9983], [-0.9980, -0.9980, -0.9981, ..., -0.9974, -0.9977, -0.9983]]]) [/INST]Stable cardiomediastinal contour is mild cardiomegaly. No pneumothorax or significant pulmonary edema. Small left pleural effusion. No focal lung consolidation. Mildly low lung volumes.</s>
<s>[INST] tensor([[[-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9996], [-0.9990, -0.9990, -0.9989, ..., -0.9997, -0.9997, -0.9997], [-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9993, -0.9994, -0.9994, ..., -0.9959, -0.9964, -0.9969], [-0.9994, -0.9994, -0.9994, ..., -0.9961, -0.9965, -0.9970], [-0.9996, -0.9997, -0.9997, ..., -0.9950, -0.9954, -0.9957]], [[-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9996], [-0.9990, -0.9990, -0.9989, ..., -0.9997, -0.9997, -0.9997], [-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9993, -0.9994, -0.9994, ..., -0.9959, -0.9964, -0.9969], [-0.9994, -0.9994, -0.9994, ..., -0.9961, -0.9965, -0.9970], [-0.9996, -0.9997, -0.9997, ..., -0.9950, -0.9954, -0.9957]], [[-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9996], [-0.9990, -0.9990, -0.9989, ..., -0.9997, -0.9997, -0.9997], [-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9993, -0.9994, -0.9994, ..., -0.9959, -0.9964, -0.9969], [-0.9994, -0.9994, -0.9994, ..., -0.9961, -0.9965, -0.9970], [-0.9996, -0.9997, -0.9997, ..., -0.9950, -0.9954, -0.9957]]]) [/INST]Stable cardiomediastinal contour is mild cardiomegaly. No pneumothorax or significant pulmonary edema. Small left pleural effusion. No focal lung consolidation. Mildly low lung volumes.</s>
<s>[INST] tensor([[[-0.9974, -0.9974, -0.9974, ..., -0.9963, -0.9962, -0.9961], [-0.9978, -0.9978, -0.9978, ..., -0.9970, -0.9970, -0.9968], [-0.9982, -0.9980, -0.9978, ..., -0.9976, -0.9975, -0.9974], ..., [-0.9978, -0.9979, -0.9980, ..., -0.9978, -0.9970, -0.9962], [-0.9982, -0.9983, -0.9983, ..., -0.9977, -0.9969, -0.9961], [-0.9978, -0.9982, -0.9983, ..., -0.9978, -0.9970, -0.9962]], [[-0.9974, -0.9974, -0.9974, ..., -0.9963, -0.9962, -0.9961], [-0.9978, -0.9978, -0.9978, ..., -0.9970, -0.9970, -0.9968], [-0.9982, -0.9980, -0.9978, ..., -0.9976, -0.9975, -0.9974], ..., [-0.9978, -0.9979, -0.9980, ..., -0.9978, -0.9970, -0.9962], [-0.9982, -0.9983, -0.9983, ..., -0.9977, -0.9969, -0.9961], [-0.9978, -0.9982, -0.9983, ..., -0.9978, -0.9970, -0.9962]], [[-0.9974, -0.9974, -0.9974, ..., -0.9963, -0.9962, -0.9961], [-0.9978, -0.9978, -0.9978, ..., -0.9970, -0.9970, -0.9968], [-0.9982, -0.9980, -0.9978, ..., -0.9976, -0.9975, -0.9974], ..., [-0.9978, -0.9979, -0.9980, ..., -0.9978, -0.9970, -0.9962], [-0.9982, -0.9983, -0.9983, ..., -0.9977, -0.9969, -0.9961], [-0.9978, -0.9982, -0.9983, ..., -0.9978, -0.9970, -0.9962]]]) [/INST]The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.</s>
<s>[INST] tensor([[[-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9966, -0.9966], [-0.9932, -0.9932, -0.9933, ..., -0.9975, -0.9974, -0.9972], [-0.9935, -0.9936, -0.9936, ..., -0.9980, -0.9979, -0.9977], ..., [-0.9980, -0.9980, -0.9981, ..., -0.9982, -0.9978, -0.9973], [-0.9983, -0.9983, -0.9983, ..., -0.9981, -0.9977, -0.9973], [-0.9988, -0.9989, -0.9989, ..., -0.9984, -0.9981, -0.9976]], [[-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9966, -0.9966], [-0.9932, -0.9932, -0.9933, ..., -0.9975, -0.9974, -0.9972], [-0.9935, -0.9936, -0.9936, ..., -0.9980, -0.9979, -0.9977], ..., [-0.9980, -0.9980, -0.9981, ..., -0.9982, -0.9978, -0.9973], [-0.9983, -0.9983, -0.9983, ..., -0.9981, -0.9977, -0.9973], [-0.9988, -0.9989, -0.9989, ..., -0.9984, -0.9981, -0.9976]], [[-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9966, -0.9966], [-0.9932, -0.9932, -0.9933, ..., -0.9975, -0.9974, -0.9972], [-0.9935, -0.9936, -0.9936, ..., -0.9980, -0.9979, -0.9977], ..., [-0.9980, -0.9980, -0.9981, ..., -0.9982, -0.9978, -0.9973], [-0.9983, -0.9983, -0.9983, ..., -0.9981, -0.9977, -0.9973], [-0.9988, -0.9989, -0.9989, ..., -0.9984, -0.9981, -0.9976]]]) [/INST]The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.</s>
<s>[INST] tensor([[[-0.9982, -0.9981, -0.9981, ..., -0.9985, -0.9985, -0.9985], [-0.9980, -0.9979, -0.9978, ..., -0.9985, -0.9985, -0.9985], [-0.9977, -0.9977, -0.9976, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9951, -0.9950, -0.9950, ..., -0.9973, -0.9970, -0.9970], [-0.9951, -0.9951, -0.9950, ..., -0.9974, -0.9971, -0.9970], [-0.9951, -0.9951, -0.9951, ..., -0.9975, -0.9973, -0.9972]], [[-0.9982, -0.9981, -0.9981, ..., -0.9985, -0.9985, -0.9985], [-0.9980, -0.9979, -0.9978, ..., -0.9985, -0.9985, -0.9985], [-0.9977, -0.9977, -0.9976, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9951, -0.9950, -0.9950, ..., -0.9973, -0.9970, -0.9970], [-0.9951, -0.9951, -0.9950, ..., -0.9974, -0.9971, -0.9970], [-0.9951, -0.9951, -0.9951, ..., -0.9975, -0.9973, -0.9972]], [[-0.9982, -0.9981, -0.9981, ..., -0.9985, -0.9985, -0.9985], [-0.9980, -0.9979, -0.9978, ..., -0.9985, -0.9985, -0.9985], [-0.9977, -0.9977, -0.9976, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9951, -0.9950, -0.9950, ..., -0.9973, -0.9970, -0.9970], [-0.9951, -0.9951, -0.9950, ..., -0.9974, -0.9971, -0.9970], [-0.9951, -0.9951, -0.9951, ..., -0.9975, -0.9973, -0.9972]]]) [/INST]The trachea is midline. Cardiomediastinal silhouette is normal. The there are XXXX opacities in the left lower lobe of the lung, which are most XXXX dependent atelectasis. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.</s>
<s>[INST] tensor([[[-0.9937, -0.9937, -0.9940, ..., -0.9995, -0.9995, -0.9995], [-0.9933, -0.9937, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9944, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9924, -0.9924, -0.9924, ..., -0.9932, -0.9934, -0.9934], [-0.9924, -0.9924, -0.9925, ..., -0.9935, -0.9936, -0.9937], [-0.9925, -0.9925, -0.9925, ..., -0.9933, -0.9933, -0.9935]], [[-0.9937, -0.9937, -0.9940, ..., -0.9995, -0.9995, -0.9995], [-0.9933, -0.9937, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9944, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9924, -0.9924, -0.9924, ..., -0.9932, -0.9934, -0.9934], [-0.9924, -0.9924, -0.9925, ..., -0.9935, -0.9936, -0.9937], [-0.9925, -0.9925, -0.9925, ..., -0.9933, -0.9933, -0.9935]], [[-0.9937, -0.9937, -0.9940, ..., -0.9995, -0.9995, -0.9995], [-0.9933, -0.9937, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9944, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9924, -0.9924, -0.9924, ..., -0.9932, -0.9934, -0.9934], [-0.9924, -0.9924, -0.9925, ..., -0.9935, -0.9936, -0.9937], [-0.9925, -0.9925, -0.9925, ..., -0.9933, -0.9933, -0.9935]]]) [/INST]The trachea is midline. Cardiomediastinal silhouette is normal. The there are XXXX opacities in the left lower lobe of the lung, which are most XXXX dependent atelectasis. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.</s>
<s>[INST] tensor([[[-0.9960, -0.9971, -0.9981, ..., -0.9937, -0.9939, -0.9941], [-0.9962, -0.9973, -0.9983, ..., -0.9942, -0.9944, -0.9947], [-0.9963, -0.9974, -0.9983, ..., -0.9945, -0.9947, -0.9951], ..., [-0.9922, -0.9922, -0.9923, ..., -0.9993, -0.9993, -0.9993], [-0.9923, -0.9924, -0.9925, ..., -0.9990, -0.9990, -0.9990], [-0.9923, -0.9924, -0.9925, ..., -0.9972, -0.9972, -0.9972]], [[-0.9960, -0.9971, -0.9981, ..., -0.9937, -0.9939, -0.9941], [-0.9962, -0.9973, -0.9983, ..., -0.9942, -0.9944, -0.9947], [-0.9963, -0.9974, -0.9983, ..., -0.9945, -0.9947, -0.9951], ..., [-0.9922, -0.9922, -0.9923, ..., -0.9993, -0.9993, -0.9993], [-0.9923, -0.9924, -0.9925, ..., -0.9990, -0.9990, -0.9990], [-0.9923, -0.9924, -0.9925, ..., -0.9972, -0.9972, -0.9972]], [[-0.9960, -0.9971, -0.9981, ..., -0.9937, -0.9939, -0.9941], [-0.9962, -0.9973, -0.9983, ..., -0.9942, -0.9944, -0.9947], [-0.9963, -0.9974, -0.9983, ..., -0.9945, -0.9947, -0.9951], ..., [-0.9922, -0.9922, -0.9923, ..., -0.9993, -0.9993, -0.9993], [-0.9923, -0.9924, -0.9925, ..., -0.9990, -0.9990, -0.9990], [-0.9923, -0.9924, -0.9925, ..., -0.9972, -0.9972, -0.9972]]]) [/INST]The cardiomediastinal silhouette is within normal limits for size and contour. There is lingular airspace disease.. Osseous structures are within normal limits for patient age..</s>
<s>[INST] tensor([[[-0.9937, -0.9938, -0.9941, ..., -0.9976, -0.9976, -0.9977], [-0.9938, -0.9939, -0.9942, ..., -0.9978, -0.9978, -0.9979], [-0.9936, -0.9937, -0.9939, ..., -0.9980, -0.9980, -0.9980], ..., [-0.9945, -0.9938, -0.9931, ..., -0.9935, -0.9937, -0.9941], [-0.9943, -0.9937, -0.9930, ..., -0.9933, -0.9934, -0.9938], [-0.9941, -0.9936, -0.9928, ..., -0.9931, -0.9932, -0.9936]], [[-0.9937, -0.9938, -0.9941, ..., -0.9976, -0.9976, -0.9977], [-0.9938, -0.9939, -0.9942, ..., -0.9978, -0.9978, -0.9979], [-0.9936, -0.9937, -0.9939, ..., -0.9980, -0.9980, -0.9980], ..., [-0.9945, -0.9938, -0.9931, ..., -0.9935, -0.9937, -0.9941], [-0.9943, -0.9937, -0.9930, ..., -0.9933, -0.9934, -0.9938], [-0.9941, -0.9936, -0.9928, ..., -0.9931, -0.9932, -0.9936]], [[-0.9937, -0.9938, -0.9941, ..., -0.9976, -0.9976, -0.9977], [-0.9938, -0.9939, -0.9942, ..., -0.9978, -0.9978, -0.9979], [-0.9936, -0.9937, -0.9939, ..., -0.9980, -0.9980, -0.9980], ..., [-0.9945, -0.9938, -0.9931, ..., -0.9935, -0.9937, -0.9941], [-0.9943, -0.9937, -0.9930, ..., -0.9933, -0.9934, -0.9938], [-0.9941, -0.9936, -0.9928, ..., -0.9931, -0.9932, -0.9936]]]) [/INST]The lungs are hyperexpanded. There are stable scattered XXXX bilateral opacities, most notable in the left upper lobe, XXXX scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.</s>
<s>[INST] tensor([[[-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9933, -0.9943, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9957, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9956, ..., -0.9988, -0.9988, -0.9989]], [[-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9933, -0.9943, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9957, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9956, ..., -0.9988, -0.9988, -0.9989]], [[-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9933, -0.9943, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9957, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9956, ..., -0.9988, -0.9988, -0.9989]]]) [/INST]The lungs are hyperexpanded. There are stable scattered XXXX bilateral opacities, most notable in the left upper lobe, XXXX scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.</s>
<s>[INST] tensor([[[-0.9951, -0.9954, -0.9954, ..., -0.9934, -0.9933, -0.9936], [-0.9954, -0.9956, -0.9957, ..., -0.9936, -0.9937, -0.9940], [-0.9957, -0.9959, -0.9959, ..., -0.9942, -0.9944, -0.9950], ..., [-0.9922, -0.9927, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988]], [[-0.9951, -0.9954, -0.9954, ..., -0.9934, -0.9933, -0.9936], [-0.9954, -0.9956, -0.9957, ..., -0.9936, -0.9937, -0.9940], [-0.9957, -0.9959, -0.9959, ..., -0.9942, -0.9944, -0.9950], ..., [-0.9922, -0.9927, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988]], [[-0.9951, -0.9954, -0.9954, ..., -0.9934, -0.9933, -0.9936], [-0.9954, -0.9956, -0.9957, ..., -0.9936, -0.9937, -0.9940], [-0.9957, -0.9959, -0.9959, ..., -0.9942, -0.9944, -0.9950], ..., [-0.9922, -0.9927, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988]]]) [/INST]There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs are chronically hypoinflated. There is XXXX visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. Evaluation of the lungs is markedly limited. Overall, the appearance is similar to the prior study from XXXX. There is no evidence of pneumothorax or large pleural effusion.</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], ..., [-0.9956, -0.9956, -0.9954, ..., -0.9973, -0.9970, -0.9970], [-0.9955, -0.9955, -0.9954, ..., -0.9973, -0.9970, -0.9969], [-0.9954, -0.9954, -0.9952, ..., -0.9972, -0.9970, -0.9968]], [[-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], ..., [-0.9956, -0.9956, -0.9954, ..., -0.9973, -0.9970, -0.9970], [-0.9955, -0.9955, -0.9954, ..., -0.9973, -0.9970, -0.9969], [-0.9954, -0.9954, -0.9952, ..., -0.9972, -0.9970, -0.9968]], [[-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], ..., [-0.9956, -0.9956, -0.9954, ..., -0.9973, -0.9970, -0.9970], [-0.9955, -0.9955, -0.9954, ..., -0.9973, -0.9970, -0.9969], [-0.9954, -0.9954, -0.9952, ..., -0.9972, -0.9970, -0.9968]]]) [/INST]There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs are chronically hypoinflated. There is XXXX visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. Evaluation of the lungs is markedly limited. Overall, the appearance is similar to the prior study from XXXX. There is no evidence of pneumothorax or large pleural effusion.</s>
<s>[INST] tensor([[[-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9982, -0.9980], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], [-0.9980, -0.9982, -0.9983, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9982, -0.9980], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], [-0.9980, -0.9982, -0.9983, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9982, -0.9980], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], [-0.9980, -0.9982, -0.9983, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]]]) [/INST]Heart size mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.</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], ..., [-0.9989, -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]], [[-0.9989, -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], ..., [-0.9989, -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]], [[-0.9989, -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], ..., [-0.9989, -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]]]) [/INST]Heart size mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.</s>
<s>[INST] tensor([[[-0.9971, -0.9972, -0.9972, ..., -0.9972, -0.9972, -0.9971], [-0.9971, -0.9971, -0.9971, ..., -0.9970, -0.9970, -0.9970], [-0.9977, -0.9977, -0.9977, ..., -0.9965, -0.9965, -0.9964], ..., [-0.9983, -0.9984, -0.9985, ..., -0.9942, -0.9931, -0.9926], [-0.9986, -0.9987, -0.9987, ..., -0.9946, -0.9934, -0.9928], [-0.9980, -0.9981, -0.9981, ..., -0.9944, -0.9932, -0.9928]], [[-0.9971, -0.9972, -0.9972, ..., -0.9972, -0.9972, -0.9971], [-0.9971, -0.9971, -0.9971, ..., -0.9970, -0.9970, -0.9970], [-0.9977, -0.9977, -0.9977, ..., -0.9965, -0.9965, -0.9964], ..., [-0.9983, -0.9984, -0.9985, ..., -0.9942, -0.9931, -0.9926], [-0.9986, -0.9987, -0.9987, ..., -0.9946, -0.9934, -0.9928], [-0.9980, -0.9981, -0.9981, ..., -0.9944, -0.9932, -0.9928]], [[-0.9971, -0.9972, -0.9972, ..., -0.9972, -0.9972, -0.9971], [-0.9971, -0.9971, -0.9971, ..., -0.9970, -0.9970, -0.9970], [-0.9977, -0.9977, -0.9977, ..., -0.9965, -0.9965, -0.9964], ..., [-0.9983, -0.9984, -0.9985, ..., -0.9942, -0.9931, -0.9926], [-0.9986, -0.9987, -0.9987, ..., -0.9946, -0.9934, -0.9928], [-0.9980, -0.9981, -0.9981, ..., -0.9944, -0.9932, -0.9928]]]) [/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 are without acute abnormality.</s>
<s>[INST] tensor([[[-0.9974, -0.9974, -0.9974, ..., -0.9973, -0.9973, -0.9973], [-0.9972, -0.9973, -0.9973, ..., -0.9972, -0.9972, -0.9971], [-0.9979, -0.9979, -0.9979, ..., -0.9967, -0.9966, -0.9966], ..., [-0.9965, -0.9964, -0.9962, ..., -0.9950, -0.9934, -0.9930], [-0.9967, -0.9966, -0.9964, ..., -0.9955, -0.9938, -0.9934], [-0.9961, -0.9960, -0.9958, ..., -0.9946, -0.9932, -0.9929]], [[-0.9974, -0.9974, -0.9974, ..., -0.9973, -0.9973, -0.9973], [-0.9972, -0.9973, -0.9973, ..., -0.9972, -0.9972, -0.9971], [-0.9979, -0.9979, -0.9979, ..., -0.9967, -0.9966, -0.9966], ..., [-0.9965, -0.9964, -0.9962, ..., -0.9950, -0.9934, -0.9930], [-0.9967, -0.9966, -0.9964, ..., -0.9955, -0.9938, -0.9934], [-0.9961, -0.9960, -0.9958, ..., -0.9946, -0.9932, -0.9929]], [[-0.9974, -0.9974, -0.9974, ..., -0.9973, -0.9973, -0.9973], [-0.9972, -0.9973, -0.9973, ..., -0.9972, -0.9972, -0.9971], [-0.9979, -0.9979, -0.9979, ..., -0.9967, -0.9966, -0.9966], ..., [-0.9965, -0.9964, -0.9962, ..., -0.9950, -0.9934, -0.9930], [-0.9967, -0.9966, -0.9964, ..., -0.9955, -0.9938, -0.9934], [-0.9961, -0.9960, -0.9958, ..., -0.9946, -0.9932, -0.9929]]]) [/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 are without acute abnormality.</s>
<s>[INST] tensor([[[-0.9982, -0.9982, -0.9982, ..., -0.9972, -0.9973, -0.9975], [-0.9981, -0.9981, -0.9981, ..., -0.9970, -0.9970, -0.9971], [-0.9980, -0.9981, -0.9981, ..., -0.9968, -0.9969, -0.9969], ..., [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9980, -0.9980, ..., -0.9989, -0.9988, -0.9987]], [[-0.9982, -0.9982, -0.9982, ..., -0.9972, -0.9973, -0.9975], [-0.9981, -0.9981, -0.9981, ..., -0.9970, -0.9970, -0.9971], [-0.9980, -0.9981, -0.9981, ..., -0.9968, -0.9969, -0.9969], ..., [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9980, -0.9980, ..., -0.9989, -0.9988, -0.9987]], [[-0.9982, -0.9982, -0.9982, ..., -0.9972, -0.9973, -0.9975], [-0.9981, -0.9981, -0.9981, ..., -0.9970, -0.9970, -0.9971], [-0.9980, -0.9981, -0.9981, ..., -0.9968, -0.9969, -0.9969], ..., [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9980, -0.9980, ..., -0.9989, -0.9988, -0.9987]]]) [/INST]Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.</s>
<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9999, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9996, -0.9999, -0.9999], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994]], [[-0.9993, -0.9993, -0.9993, ..., -0.9999, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9996, -0.9999, -0.9999], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994]], [[-0.9993, -0.9993, -0.9993, ..., -0.9999, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9996, -0.9999, -0.9999], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994]]]) [/INST]Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.</s>
<s>[INST] tensor([[[-0.9986, -0.9988, -0.9988, ..., -0.9956, -0.9933, -0.9928], [-0.9986, -0.9988, -0.9989, ..., -0.9956, -0.9934, -0.9929], [-0.9986, -0.9988, -0.9989, ..., -0.9957, -0.9935, -0.9929], ..., [-0.9934, -0.9935, -0.9936, ..., -0.9962, -0.9954, -0.9947], [-0.9928, -0.9929, -0.9930, ..., -0.9942, -0.9936, -0.9933], [-0.9923, -0.9923, -0.9924, ..., -0.9925, -0.9923, -0.9926]], [[-0.9986, -0.9988, -0.9988, ..., -0.9956, -0.9933, -0.9928], [-0.9986, -0.9988, -0.9989, ..., -0.9956, -0.9934, -0.9929], [-0.9986, -0.9988, -0.9989, ..., -0.9957, -0.9935, -0.9929], ..., [-0.9934, -0.9935, -0.9936, ..., -0.9962, -0.9954, -0.9947], [-0.9928, -0.9929, -0.9930, ..., -0.9942, -0.9936, -0.9933], [-0.9923, -0.9923, -0.9924, ..., -0.9925, -0.9923, -0.9926]], [[-0.9986, -0.9988, -0.9988, ..., -0.9956, -0.9933, -0.9928], [-0.9986, -0.9988, -0.9989, ..., -0.9956, -0.9934, -0.9929], [-0.9986, -0.9988, -0.9989, ..., -0.9957, -0.9935, -0.9929], ..., [-0.9934, -0.9935, -0.9936, ..., -0.9962, -0.9954, -0.9947], [-0.9928, -0.9929, -0.9930, ..., -0.9942, -0.9936, -0.9933], [-0.9923, -0.9923, -0.9924, ..., -0.9925, -0.9923, -0.9926]]]) [/INST]Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Some scattered XXXX opacities are present whose appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No pleural effusion is noted. No pneumothorax is identified. The left hemidiaphragm is elevated. Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.</s>
<s>[INST] tensor([[[-0.9986, -0.9986, -0.9986, ..., -0.9996, -0.9981, -0.9972], [-0.9987, -0.9988, -0.9988, ..., -0.9996, -0.9982, -0.9973], [-0.9989, -0.9990, -0.9990, ..., -0.9997, -0.9982, -0.9973], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9996, -0.9992], [-0.9999, -0.9999, -0.9999, ..., -0.9987, -0.9982, -0.9977], [-0.9997, -0.9997, -0.9997, ..., -0.9966, -0.9963, -0.9961]], [[-0.9986, -0.9986, -0.9986, ..., -0.9996, -0.9981, -0.9972], [-0.9987, -0.9988, -0.9988, ..., -0.9996, -0.9982, -0.9973], [-0.9989, -0.9990, -0.9990, ..., -0.9997, -0.9982, -0.9973], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9996, -0.9992], [-0.9999, -0.9999, -0.9999, ..., -0.9987, -0.9982, -0.9977], [-0.9997, -0.9997, -0.9997, ..., -0.9966, -0.9963, -0.9961]], [[-0.9986, -0.9986, -0.9986, ..., -0.9996, -0.9981, -0.9972], [-0.9987, -0.9988, -0.9988, ..., -0.9996, -0.9982, -0.9973], [-0.9989, -0.9990, -0.9990, ..., -0.9997, -0.9982, -0.9973], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9996, -0.9992], [-0.9999, -0.9999, -0.9999, ..., -0.9987, -0.9982, -0.9977], [-0.9997, -0.9997, -0.9997, ..., -0.9966, -0.9963, -0.9961]]]) [/INST]Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Some scattered XXXX opacities are present whose appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No pleural effusion is noted. No pneumothorax is identified. The left hemidiaphragm is elevated. Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.</s>
<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9971, -0.9966, -0.9965, ..., -0.9944, -0.9947, -0.9953], [-0.9968, -0.9965, -0.9964, ..., -0.9943, -0.9946, -0.9952], [-0.9960, -0.9963, -0.9963, ..., -0.9947, -0.9950, -0.9954]], [[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9971, -0.9966, -0.9965, ..., -0.9944, -0.9947, -0.9953], [-0.9968, -0.9965, -0.9964, ..., -0.9943, -0.9946, -0.9952], [-0.9960, -0.9963, -0.9963, ..., -0.9947, -0.9950, -0.9954]], [[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9971, -0.9966, -0.9965, ..., -0.9944, -0.9947, -0.9953], [-0.9968, -0.9965, -0.9964, ..., -0.9943, -0.9946, -0.9952], [-0.9960, -0.9963, -0.9963, ..., -0.9947, -0.9950, -0.9954]]]) [/INST]Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. No overt edema or confluent lobar pneumonia. No pleural effusion. Thoracic spondylosis.</s>
<s>[INST] tensor([[[-0.9970, -0.9980, -0.9986, ..., -0.9997, -0.9998, -0.9998], [-0.9966, -0.9975, -0.9981, ..., -0.9997, -0.9998, -0.9998], [-0.9963, -0.9971, -0.9977, ..., -0.9997, -0.9998, -0.9998], ..., [-0.9923, -0.9923, -0.9922, ..., -0.9992, -0.9990, -0.9989], [-0.9922, -0.9922, -0.9922, ..., -0.9991, -0.9989, -0.9988], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9987, -0.9986]], [[-0.9970, -0.9980, -0.9986, ..., -0.9997, -0.9998, -0.9998], [-0.9966, -0.9975, -0.9981, ..., -0.9997, -0.9998, -0.9998], [-0.9963, -0.9971, -0.9977, ..., -0.9997, -0.9998, -0.9998], ..., [-0.9923, -0.9923, -0.9922, ..., -0.9992, -0.9990, -0.9989], [-0.9922, -0.9922, -0.9922, ..., -0.9991, -0.9989, -0.9988], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9987, -0.9986]], [[-0.9970, -0.9980, -0.9986, ..., -0.9997, -0.9998, -0.9998], [-0.9966, -0.9975, -0.9981, ..., -0.9997, -0.9998, -0.9998], [-0.9963, -0.9971, -0.9977, ..., -0.9997, -0.9998, -0.9998], ..., [-0.9923, -0.9923, -0.9922, ..., -0.9992, -0.9990, -0.9989], [-0.9922, -0.9922, -0.9922, ..., -0.9991, -0.9989, -0.9988], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9987, -0.9986]]]) [/INST]Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. No overt edema or confluent lobar pneumonia. No pleural effusion. Thoracic spondylosis.</s>
<s>[INST] tensor([[[-0.9984, -0.9986, -0.9986, ..., -0.9999, -0.9999, -1.0000], [-0.9993, -0.9989, -0.9989, ..., -0.9999, -0.9999, -1.0000], [-0.9996, -0.9996, -0.9991, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9969, -0.9970, -0.9974, ..., -0.9999, -0.9999, -1.0000], [-0.9966, -0.9968, -0.9973, ..., -0.9999, -0.9999, -1.0000], [-0.9962, -0.9966, -0.9969, ..., -0.9999, -0.9999, -1.0000]], [[-0.9984, -0.9986, -0.9986, ..., -0.9999, -0.9999, -1.0000], [-0.9993, -0.9989, -0.9989, ..., -0.9999, -0.9999, -1.0000], [-0.9996, -0.9996, -0.9991, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9969, -0.9970, -0.9974, ..., -0.9999, -0.9999, -1.0000], [-0.9966, -0.9968, -0.9973, ..., -0.9999, -0.9999, -1.0000], [-0.9962, -0.9966, -0.9969, ..., -0.9999, -0.9999, -1.0000]], [[-0.9984, -0.9986, -0.9986, ..., -0.9999, -0.9999, -1.0000], [-0.9993, -0.9989, -0.9989, ..., -0.9999, -0.9999, -1.0000], [-0.9996, -0.9996, -0.9991, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9969, -0.9970, -0.9974, ..., -0.9999, -0.9999, -1.0000], [-0.9966, -0.9968, -0.9973, ..., -0.9999, -0.9999, -1.0000], [-0.9962, -0.9966, -0.9969, ..., -0.9999, -0.9999, -1.0000]]]) [/INST]Heart size is upper limits of normal and stable. They're multiple radiopaque densities overlying the patient.. The lungs are normally inflated and clear. Degenerative changes of the spinal.</s>
<s>[INST] tensor([[[-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], ..., [-0.9987, -0.9989, -0.9981, ..., -0.9981, -0.9980, -0.9979], [-0.9987, -0.9989, -0.9980, ..., -0.9981, -0.9980, -0.9979], [-0.9989, -0.9989, -0.9980, ..., -0.9977, -0.9976, -0.9976]], [[-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], ..., [-0.9987, -0.9989, -0.9981, ..., -0.9981, -0.9980, -0.9979], [-0.9987, -0.9989, -0.9980, ..., -0.9981, -0.9980, -0.9979], [-0.9989, -0.9989, -0.9980, ..., -0.9977, -0.9976, -0.9976]], [[-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], ..., [-0.9987, -0.9989, -0.9981, ..., -0.9981, -0.9980, -0.9979], [-0.9987, -0.9989, -0.9980, ..., -0.9981, -0.9980, -0.9979], [-0.9989, -0.9989, -0.9980, ..., -0.9977, -0.9976, -0.9976]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>
<s>[INST] tensor([[[-0.9988, -0.9987, -0.9994, ..., -0.9990, -0.9975, -0.9962], [-0.9994, -0.9994, -0.9994, ..., -0.9991, -0.9978, -0.9964], [-0.9994, -0.9994, -0.9994, ..., -0.9992, -0.9978, -0.9964], ..., [-0.9938, -0.9938, -0.9937, ..., -0.9994, -0.9994, -0.9990], [-0.9939, -0.9939, -0.9938, ..., -0.9994, -0.9994, -0.9990], [-0.9945, -0.9944, -0.9943, ..., -0.9994, -0.9994, -0.9989]], [[-0.9988, -0.9987, -0.9994, ..., -0.9990, -0.9975, -0.9962], [-0.9994, -0.9994, -0.9994, ..., -0.9991, -0.9978, -0.9964], [-0.9994, -0.9994, -0.9994, ..., -0.9992, -0.9978, -0.9964], ..., [-0.9938, -0.9938, -0.9937, ..., -0.9994, -0.9994, -0.9990], [-0.9939, -0.9939, -0.9938, ..., -0.9994, -0.9994, -0.9990], [-0.9945, -0.9944, -0.9943, ..., -0.9994, -0.9994, -0.9989]], [[-0.9988, -0.9987, -0.9994, ..., -0.9990, -0.9975, -0.9962], [-0.9994, -0.9994, -0.9994, ..., -0.9991, -0.9978, -0.9964], [-0.9994, -0.9994, -0.9994, ..., -0.9992, -0.9978, -0.9964], ..., [-0.9938, -0.9938, -0.9937, ..., -0.9994, -0.9994, -0.9990], [-0.9939, -0.9939, -0.9938, ..., -0.9994, -0.9994, -0.9990], [-0.9945, -0.9944, -0.9943, ..., -0.9994, -0.9994, -0.9989]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>
<s>[INST] tensor([[[-0.9992, -0.9992, -0.9993, ..., -0.9996, -0.9996, -0.9996], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], ..., [-0.9949, -0.9947, -0.9945, ..., -0.9937, -0.9938, -0.9940], [-0.9949, -0.9946, -0.9944, ..., -0.9936, -0.9938, -0.9940], [-0.9948, -0.9946, -0.9943, ..., -0.9937, -0.9938, -0.9940]], [[-0.9992, -0.9992, -0.9993, ..., -0.9996, -0.9996, -0.9996], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], ..., [-0.9949, -0.9947, -0.9945, ..., -0.9937, -0.9938, -0.9940], [-0.9949, -0.9946, -0.9944, ..., -0.9936, -0.9938, -0.9940], [-0.9948, -0.9946, -0.9943, ..., -0.9937, -0.9938, -0.9940]], [[-0.9992, -0.9992, -0.9993, ..., -0.9996, -0.9996, -0.9996], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], ..., [-0.9949, -0.9947, -0.9945, ..., -0.9937, -0.9938, -0.9940], [-0.9949, -0.9946, -0.9944, ..., -0.9936, -0.9938, -0.9940], [-0.9948, -0.9946, -0.9943, ..., -0.9937, -0.9938, -0.9940]]]) [/INST]Normal and stable cardiomediastinal contours. Interval removal of left-sided intravenous catheter. No pneumothorax. XXXX XXXX opacities obscuring the hemidiaphragms, slightly improved from prior exam.. Right-sided rib fractures again noted.</s>
<s>[INST] tensor([[[-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990]], [[-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990]], [[-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990]]]) [/INST]Normal and stable cardiomediastinal contours. Interval removal of left-sided intravenous catheter. No pneumothorax. XXXX XXXX opacities obscuring the hemidiaphragms, slightly improved from prior exam.. Right-sided rib fractures again noted.</s>
<s>[INST] tensor([[[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9943, -0.9940, -0.9938, ..., -0.9966, -0.9961, -0.9957], [-0.9944, -0.9941, -0.9937, ..., -0.9966, -0.9961, -0.9957], [-0.9943, -0.9939, -0.9935, ..., -0.9962, -0.9955, -0.9951]], [[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9943, -0.9940, -0.9938, ..., -0.9966, -0.9961, -0.9957], [-0.9944, -0.9941, -0.9937, ..., -0.9966, -0.9961, -0.9957], [-0.9943, -0.9939, -0.9935, ..., -0.9962, -0.9955, -0.9951]], [[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9943, -0.9940, -0.9938, ..., -0.9966, -0.9961, -0.9957], [-0.9944, -0.9941, -0.9937, ..., -0.9966, -0.9961, -0.9957], [-0.9943, -0.9939, -0.9935, ..., -0.9962, -0.9955, -0.9951]]]) [/INST]Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.</s>
<s>[INST] tensor([[[-0.9959, -0.9958, -0.9958, ..., -0.9936, -0.9935, -0.9928], [-0.9965, -0.9964, -0.9963, ..., -0.9936, -0.9936, -0.9934], [-0.9971, -0.9971, -0.9970, ..., -0.9935, -0.9935, -0.9934], ..., [-0.9932, -0.9932, -0.9932, ..., -0.9993, -0.9991, -0.9987], [-0.9931, -0.9932, -0.9932, ..., -0.9985, -0.9983, -0.9978], [-0.9933, -0.9933, -0.9933, ..., -0.9954, -0.9951, -0.9943]], [[-0.9959, -0.9958, -0.9958, ..., -0.9936, -0.9935, -0.9928], [-0.9965, -0.9964, -0.9963, ..., -0.9936, -0.9936, -0.9934], [-0.9971, -0.9971, -0.9970, ..., -0.9935, -0.9935, -0.9934], ..., [-0.9932, -0.9932, -0.9932, ..., -0.9993, -0.9991, -0.9987], [-0.9931, -0.9932, -0.9932, ..., -0.9985, -0.9983, -0.9978], [-0.9933, -0.9933, -0.9933, ..., -0.9954, -0.9951, -0.9943]], [[-0.9959, -0.9958, -0.9958, ..., -0.9936, -0.9935, -0.9928], [-0.9965, -0.9964, -0.9963, ..., -0.9936, -0.9936, -0.9934], [-0.9971, -0.9971, -0.9970, ..., -0.9935, -0.9935, -0.9934], ..., [-0.9932, -0.9932, -0.9932, ..., -0.9993, -0.9991, -0.9987], [-0.9931, -0.9932, -0.9932, ..., -0.9985, -0.9983, -0.9978], [-0.9933, -0.9933, -0.9933, ..., -0.9954, -0.9951, -0.9943]]]) [/INST]Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.</s>
<s>[INST] tensor([[[-0.9977, -0.9977, -0.9977, ..., -0.9975, -0.9974, -0.9974], [-0.9976, -0.9977, -0.9976, ..., -0.9974, -0.9973, -0.9973], [-0.9976, -0.9976, -0.9976, ..., -0.9973, -0.9972, -0.9971], ..., [-0.9974, -0.9974, -0.9974, ..., -0.9939, -0.9941, -0.9942], [-0.9974, -0.9974, -0.9974, ..., -0.9938, -0.9940, -0.9941], [-0.9974, -0.9974, -0.9974, ..., -0.9937, -0.9939, -0.9939]], [[-0.9977, -0.9977, -0.9977, ..., -0.9975, -0.9974, -0.9974], [-0.9976, -0.9977, -0.9976, ..., -0.9974, -0.9973, -0.9973], [-0.9976, -0.9976, -0.9976, ..., -0.9973, -0.9972, -0.9971], ..., [-0.9974, -0.9974, -0.9974, ..., -0.9939, -0.9941, -0.9942], [-0.9974, -0.9974, -0.9974, ..., -0.9938, -0.9940, -0.9941], [-0.9974, -0.9974, -0.9974, ..., -0.9937, -0.9939, -0.9939]], [[-0.9977, -0.9977, -0.9977, ..., -0.9975, -0.9974, -0.9974], [-0.9976, -0.9977, -0.9976, ..., -0.9974, -0.9973, -0.9973], [-0.9976, -0.9976, -0.9976, ..., -0.9973, -0.9972, -0.9971], ..., [-0.9974, -0.9974, -0.9974, ..., -0.9939, -0.9941, -0.9942], [-0.9974, -0.9974, -0.9974, ..., -0.9938, -0.9940, -0.9941], [-0.9974, -0.9974, -0.9974, ..., -0.9937, -0.9939, -0.9939]]]) [/INST]Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.</s>
<s>[INST] tensor([[[-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9931, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9929, -0.9932, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9927, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9926, -0.9926, ..., -0.9994, -0.9994, -0.9994]], [[-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9931, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9929, -0.9932, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9927, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9926, -0.9926, ..., -0.9994, -0.9994, -0.9994]], [[-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9931, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9929, -0.9932, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9927, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9926, -0.9926, ..., -0.9994, -0.9994, -0.9994]]]) [/INST]Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.</s>
<s>[INST] tensor([[[-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9990], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], ..., [-0.9987, -0.9988, -0.9988, ..., -0.9981, -0.9981, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9981, -0.9980, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9980, -0.9980, -0.9979]], [[-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9990], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], ..., [-0.9987, -0.9988, -0.9988, ..., -0.9981, -0.9981, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9981, -0.9980, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9980, -0.9980, -0.9979]], [[-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9990], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], ..., [-0.9987, -0.9988, -0.9988, ..., -0.9981, -0.9981, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9981, -0.9980, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9980, -0.9980, -0.9979]]]) [/INST]Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.</s>
<s>[INST] tensor([[[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9997, ..., -0.9996, -0.9996, -0.9996], [-0.9997, -0.9997, -0.9997, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9999, -0.9999, -0.9999], [-0.9996, -0.9996, -0.9996, ..., -0.9992, -0.9992, -0.9992], [-0.9996, -0.9996, -0.9996, ..., -0.9981, -0.9981, -0.9981]], [[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9997, ..., -0.9996, -0.9996, -0.9996], [-0.9997, -0.9997, -0.9997, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9999, -0.9999, -0.9999], [-0.9996, -0.9996, -0.9996, ..., -0.9992, -0.9992, -0.9992], [-0.9996, -0.9996, -0.9996, ..., -0.9981, -0.9981, -0.9981]], [[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9997, ..., -0.9996, -0.9996, -0.9996], [-0.9997, -0.9997, -0.9997, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9999, -0.9999, -0.9999], [-0.9996, -0.9996, -0.9996, ..., -0.9992, -0.9992, -0.9992], [-0.9996, -0.9996, -0.9996, ..., -0.9981, -0.9981, -0.9981]]]) [/INST]Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.</s>
<s>[INST] tensor([[[-0.9958, -0.9967, -0.9975, ..., -0.9922, -0.9922, -0.9925], [-0.9975, -0.9984, -0.9991, ..., -0.9926, -0.9925, -0.9927], [-0.9982, -0.9990, -0.9997, ..., -0.9956, -0.9955, -0.9955], ..., [-0.9995, -0.9996, -0.9996, ..., -0.9997, -0.9994, -0.9991], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9994, -0.9991], [-0.9989, -0.9990, -0.9991, ..., -0.9997, -0.9994, -0.9990]], [[-0.9958, -0.9967, -0.9975, ..., -0.9922, -0.9922, -0.9925], [-0.9975, -0.9984, -0.9991, ..., -0.9926, -0.9925, -0.9927], [-0.9982, -0.9990, -0.9997, ..., -0.9956, -0.9955, -0.9955], ..., [-0.9995, -0.9996, -0.9996, ..., -0.9997, -0.9994, -0.9991], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9994, -0.9991], [-0.9989, -0.9990, -0.9991, ..., -0.9997, -0.9994, -0.9990]], [[-0.9958, -0.9967, -0.9975, ..., -0.9922, -0.9922, -0.9925], [-0.9975, -0.9984, -0.9991, ..., -0.9926, -0.9925, -0.9927], [-0.9982, -0.9990, -0.9997, ..., -0.9956, -0.9955, -0.9955], ..., [-0.9995, -0.9996, -0.9996, ..., -0.9997, -0.9994, -0.9991], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9994, -0.9991], [-0.9989, -0.9990, -0.9991, ..., -0.9997, -0.9994, -0.9990]]]) [/INST]Hyperlucent hyperinflated lungs with flattened diaphragms. Granulomas. Small sized heart. Minimal apical capping slightly greater at the left. XXXX unremarkable.</s>
<s>[INST] tensor([[[-0.9943, -0.9950, -0.9958, ..., -0.9999, -0.9999, -1.0000], [-0.9941, -0.9948, -0.9955, ..., -0.9999, -0.9999, -1.0000], [-0.9937, -0.9944, -0.9951, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9926, -0.9926, -0.9926, ..., -0.9978, -0.9973, -0.9967], [-0.9923, -0.9923, -0.9924, ..., -0.9975, -0.9970, -0.9964], [-0.9922, -0.9922, -0.9922, ..., -0.9970, -0.9965, -0.9960]], [[-0.9943, -0.9950, -0.9958, ..., -0.9999, -0.9999, -1.0000], [-0.9941, -0.9948, -0.9955, ..., -0.9999, -0.9999, -1.0000], [-0.9937, -0.9944, -0.9951, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9926, -0.9926, -0.9926, ..., -0.9978, -0.9973, -0.9967], [-0.9923, -0.9923, -0.9924, ..., -0.9975, -0.9970, -0.9964], [-0.9922, -0.9922, -0.9922, ..., -0.9970, -0.9965, -0.9960]], [[-0.9943, -0.9950, -0.9958, ..., -0.9999, -0.9999, -1.0000], [-0.9941, -0.9948, -0.9955, ..., -0.9999, -0.9999, -1.0000], [-0.9937, -0.9944, -0.9951, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9926, -0.9926, -0.9926, ..., -0.9978, -0.9973, -0.9967], [-0.9923, -0.9923, -0.9924, ..., -0.9975, -0.9970, -0.9964], [-0.9922, -0.9922, -0.9922, ..., -0.9970, -0.9965, -0.9960]]]) [/INST]Hyperlucent hyperinflated lungs with flattened diaphragms. Granulomas. Small sized heart. Minimal apical capping slightly greater at the left. XXXX unremarkable.</s>
<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9987], [-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], [-0.9998, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], ..., [-0.9993, -0.9993, -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]], [[-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9987], [-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], [-0.9998, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], ..., [-0.9993, -0.9993, -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]], [[-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9987], [-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], [-0.9998, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], ..., [-0.9993, -0.9993, -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]]]) [/INST]Heart size is normal. Aorta is tortuous and ectatic. Cardiomediastinal contours are normal. Lungs are clear without evidence of fibrosis. Pleural effusions or pneumothorax. Endplate sclerotic changes are present in the thoracic spine.</s>

<s>[INST] tensor([[[-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, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -0.9999, -0.9997, ..., -0.9959, -0.9960, -0.9973], [-1.0000, -0.9999, -0.9998, ..., -0.9959, -0.9960, -0.9972], [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9972, -0.9981]], [[-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, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -0.9999, -0.9997, ..., -0.9959, -0.9960, -0.9973], [-1.0000, -0.9999, -0.9998, ..., -0.9959, -0.9960, -0.9972], [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9972, -0.9981]], [[-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, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -0.9999, -0.9997, ..., -0.9959, -0.9960, -0.9973], [-1.0000, -0.9999, -0.9998, ..., -0.9959, -0.9960, -0.9972], [-1.0000, -1.0000, -1.0000, ..., -0.9971, -0.9972, -0.9981]]]) [/INST]Stable appearance of previous XXXX sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.</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, ..., -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], [-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, ..., -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], [-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, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]Stable appearance of previous XXXX sternotomy. Stable cardiomegaly. Stable mild bilateral interstitial opacities in which may represent mild pulmonary edema. No evidence of large pleural effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9922, -0.9922, -0.9922, ..., -0.9932, -0.9924, -0.9924], [-0.9931, -0.9932, -0.9933, ..., -0.9961, -0.9943, -0.9928], [-0.9966, -0.9967, -0.9967, ..., -0.9975, -0.9963, -0.9942], ..., [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976]], [[-0.9922, -0.9922, -0.9922, ..., -0.9932, -0.9924, -0.9924], [-0.9931, -0.9932, -0.9933, ..., -0.9961, -0.9943, -0.9928], [-0.9966, -0.9967, -0.9967, ..., -0.9975, -0.9963, -0.9942], ..., [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976]], [[-0.9922, -0.9922, -0.9922, ..., -0.9932, -0.9924, -0.9924], [-0.9931, -0.9932, -0.9933, ..., -0.9961, -0.9943, -0.9928], [-0.9966, -0.9967, -0.9967, ..., -0.9975, -0.9963, -0.9942], ..., [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976], [-0.9975, -0.9975, -0.9975, ..., -0.9976, -0.9976, -0.9976]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>

<s>[INST] tensor([[[-0.9934, -0.9934, -0.9934, ..., -0.9966, -0.9962, -0.9961], [-0.9940, -0.9940, -0.9940, ..., -0.9976, -0.9966, -0.9964], [-0.9959, -0.9959, -0.9958, ..., -0.9983, -0.9974, -0.9967], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9934, -0.9934, -0.9934, ..., -0.9966, -0.9962, -0.9961], [-0.9940, -0.9940, -0.9940, ..., -0.9976, -0.9966, -0.9964], [-0.9959, -0.9959, -0.9958, ..., -0.9983, -0.9974, -0.9967], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9934, -0.9934, -0.9934, ..., -0.9966, -0.9962, -0.9961], [-0.9940, -0.9940, -0.9940, ..., -0.9976, -0.9966, -0.9964], [-0.9959, -0.9959, -0.9958, ..., -0.9983, -0.9974, -0.9967], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>

<s>[INST] tensor([[[-0.9978, -0.9986, -0.9991, ..., -0.9991, -0.9991, -0.9990], [-0.9987, -0.9993, -0.9997, ..., -0.9998, -0.9998, -0.9998], [-0.9987, -0.9994, -0.9997, ..., -0.9999, -1.0000, -0.9999], ..., [-0.9992, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9997], [-0.9990, -0.9995, -0.9997, ..., -0.9996, -0.9996, -0.9995], [-0.9987, -0.9992, -0.9994, ..., -0.9994, -0.9993, -0.9993]], [[-0.9978, -0.9986, -0.9991, ..., -0.9991, -0.9991, -0.9990], [-0.9987, -0.9993, -0.9997, ..., -0.9998, -0.9998, -0.9998], [-0.9987, -0.9994, -0.9997, ..., -0.9999, -1.0000, -0.9999], ..., [-0.9992, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9997], [-0.9990, -0.9995, -0.9997, ..., -0.9996, -0.9996, -0.9995], [-0.9987, -0.9992, -0.9994, ..., -0.9994, -0.9993, -0.9993]], [[-0.9978, -0.9986, -0.9991, ..., -0.9991, -0.9991, -0.9990], [-0.9987, -0.9993, -0.9997, ..., -0.9998, -0.9998, -0.9998], [-0.9987, -0.9994, -0.9997, ..., -0.9999, -1.0000, -0.9999], ..., [-0.9992, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9997], [-0.9990, -0.9995, -0.9997, ..., -0.9996, -0.9996, -0.9995], [-0.9987, -0.9992, -0.9994, ..., -0.9994, -0.9993, -0.9993]]]) [/INST]The lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence for mass lung apices. The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are unremarkable.</s>

<s>[INST] tensor([[[-0.9973, -0.9982, -0.9989, ..., -0.9996, -0.9997, -0.9997], [-0.9982, -0.9990, -0.9996, ..., -0.9996, -0.9997, -0.9998], [-0.9981, -0.9989, -0.9994, ..., -0.9997, -0.9997, -0.9998], ..., [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000]], [[-0.9973, -0.9982, -0.9989, ..., -0.9996, -0.9997, -0.9997], [-0.9982, -0.9990, -0.9996, ..., -0.9996, -0.9997, -0.9998], [-0.9981, -0.9989, -0.9994, ..., -0.9997, -0.9997, -0.9998], ..., [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000]], [[-0.9973, -0.9982, -0.9989, ..., -0.9996, -0.9997, -0.9997], [-0.9982, -0.9990, -0.9996, ..., -0.9996, -0.9997, -0.9998], [-0.9981, -0.9989, -0.9994, ..., -0.9997, -0.9997, -0.9998], ..., [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The lungs are clear. There is no pleural effusion or pneumothorax. There is no evidence for mass lung apices. The heart is normal. There are atherosclerotic changes of the aorta. The skeletal structures are unremarkable.</s>

<s>[INST] tensor([[[-0.9986, -0.9987, -0.9987, ..., -0.9987, -0.9986, -0.9986], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987]], [[-0.9986, -0.9987, -0.9987, ..., -0.9987, -0.9986, -0.9986], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987]], [[-0.9986, -0.9987, -0.9987, ..., -0.9987, -0.9986, -0.9986], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987]]]) [/INST]The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.</s>

<s>[INST] tensor([[[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9989, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9982, -0.9981, -0.9980, ..., -0.9990, -0.9990, -0.9990], [-0.9980, -0.9979, -0.9978, ..., -0.9990, -0.9990, -0.9990], [-0.9977, -0.9976, -0.9975, ..., -0.9990, -0.9990, -0.9990]], [[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9989, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9982, -0.9981, -0.9980, ..., -0.9990, -0.9990, -0.9990], [-0.9980, -0.9979, -0.9978, ..., -0.9990, -0.9990, -0.9990], [-0.9977, -0.9976, -0.9975, ..., -0.9990, -0.9990, -0.9990]], [[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9989, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9982, -0.9981, -0.9980, ..., -0.9990, -0.9990, -0.9990], [-0.9980, -0.9979, -0.9978, ..., -0.9990, -0.9990, -0.9990], [-0.9977, -0.9976, -0.9975, ..., -0.9990, -0.9990, -0.9990]]]) [/INST]The heart is normal in size and contour. The lungs are clear, without evidence of infiltrate. There is no pneumothorax or effusion.</s>

<s>[INST] tensor([[[-0.9990, -0.9990, -0.9990, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9928, -0.9928, -0.9928, ..., -0.9933, -0.9934, -0.9934], [-0.9929, -0.9928, -0.9928, ..., -0.9932, -0.9933, -0.9934], [-0.9932, -0.9933, -0.9932, ..., -0.9923, -0.9924, -0.9924]], [[-0.9990, -0.9990, -0.9990, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9928, -0.9928, -0.9928, ..., -0.9933, -0.9934, -0.9934], [-0.9929, -0.9928, -0.9928, ..., -0.9932, -0.9933, -0.9934], [-0.9932, -0.9933, -0.9932, ..., -0.9923, -0.9924, -0.9924]], [[-0.9990, -0.9990, -0.9990, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], [-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9928, -0.9928, -0.9928, ..., -0.9933, -0.9934, -0.9934], [-0.9929, -0.9928, -0.9928, ..., -0.9932, -0.9933, -0.9934], [-0.9932, -0.9933, -0.9932, ..., -0.9923, -0.9924, -0.9924]]]) [/INST]The cardiac silhouette is enlarged. There are bibasilar airspace opacities left greater than right with small right pleural effusion. No visualized pneumothorax.</s>

<s>[INST] tensor([[[-0.9958, -0.9958, -0.9958, ..., -0.9995, -0.9994, -0.9994], [-0.9959, -0.9959, -0.9958, ..., -0.9995, -0.9995, -0.9995], [-0.9960, -0.9960, -0.9959, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9936, -0.9937, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997]], [[-0.9958, -0.9958, -0.9958, ..., -0.9995, -0.9994, -0.9994], [-0.9959, -0.9959, -0.9958, ..., -0.9995, -0.9995, -0.9995], [-0.9960, -0.9960, -0.9959, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9936, -0.9937, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997]], [[-0.9958, -0.9958, -0.9958, ..., -0.9995, -0.9994, -0.9994], [-0.9959, -0.9959, -0.9958, ..., -0.9995, -0.9995, -0.9995], [-0.9960, -0.9960, -0.9959, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9936, -0.9937, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997], [-0.9932, -0.9935, -0.9936, ..., -0.9997, -0.9997, -0.9997]]]) [/INST]The cardiac silhouette is enlarged. There are bibasilar airspace opacities left greater than right with small right pleural effusion. No visualized pneumothorax.</s>

<s>[INST] tensor([[[-0.9987, -0.9992, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9997, -0.9998, -0.9998, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9981, -0.9989, -0.9994, ..., -0.9999, -0.9999, -0.9999], [-0.9980, -0.9987, -0.9992, ..., -0.9999, -0.9999, -0.9999], [-0.9977, -0.9985, -0.9990, ..., -0.9999, -0.9999, -0.9999]], [[-0.9987, -0.9992, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9997, -0.9998, -0.9998, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9981, -0.9989, -0.9994, ..., -0.9999, -0.9999, -0.9999], [-0.9980, -0.9987, -0.9992, ..., -0.9999, -0.9999, -0.9999], [-0.9977, -0.9985, -0.9990, ..., -0.9999, -0.9999, -0.9999]], [[-0.9987, -0.9992, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9997, -0.9998, -0.9998, ..., -0.9999, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9981, -0.9989, -0.9994, ..., -0.9999, -0.9999, -0.9999], [-0.9980, -0.9987, -0.9992, ..., -0.9999, -0.9999, -0.9999], [-0.9977, -0.9985, -0.9990, ..., -0.9999, -0.9999, -0.9999]]]) [/INST]Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.</s>

<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], ..., [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9999, -0.9999]], [[-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], ..., [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9999, -0.9999]], [[-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9995, -0.9995, -0.9996], ..., [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9999, -0.9999]]]) [/INST]Heart size is normal. The lungs and costophrenic XXXX are clear. The bony thorax is grossly intact.</s>

<s>[INST] tensor([[[-0.9957, -0.9966, -0.9971, ..., -0.9984, -0.9984, -0.9983], [-0.9958, -0.9967, -0.9973, ..., -0.9985, -0.9985, -0.9984], [-0.9958, -0.9967, -0.9973, ..., -0.9986, -0.9985, -0.9984], ..., [-0.9952, -0.9955, -0.9957, ..., -0.9943, -0.9944, -0.9944], [-0.9945, -0.9948, -0.9950, ..., -0.9942, -0.9943, -0.9943], [-0.9938, -0.9942, -0.9944, ..., -0.9941, -0.9942, -0.9943]], [[-0.9957, -0.9966, -0.9971, ..., -0.9984, -0.9984, -0.9983], [-0.9958, -0.9967, -0.9973, ..., -0.9985, -0.9985, -0.9984], [-0.9958, -0.9967, -0.9973, ..., -0.9986, -0.9985, -0.9984], ..., [-0.9952, -0.9955, -0.9957, ..., -0.9943, -0.9944, -0.9944], [-0.9945, -0.9948, -0.9950, ..., -0.9942, -0.9943, -0.9943], [-0.9938, -0.9942, -0.9944, ..., -0.9941, -0.9942, -0.9943]], [[-0.9957, -0.9966, -0.9971, ..., -0.9984, -0.9984, -0.9983], [-0.9958, -0.9967, -0.9973, ..., -0.9985, -0.9985, -0.9984], [-0.9958, -0.9967, -0.9973, ..., -0.9986, -0.9985, -0.9984], ..., [-0.9952, -0.9955, -0.9957, ..., -0.9943, -0.9944, -0.9944], [-0.9945, -0.9948, -0.9950, ..., -0.9942, -0.9943, -0.9943], [-0.9938, -0.9942, -0.9944, ..., -0.9941, -0.9942, -0.9943]]]) [/INST]No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Cardiomediastinal silhouette stable. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.</s>

<s>[INST] tensor([[[-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9933, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9924, -0.9925, -0.9926, ..., -0.9994, -0.9994, -0.9994], [-0.9922, -0.9922, -0.9922, ..., -0.9994, -0.9994, -0.9994]], [[-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9933, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9924, -0.9925, -0.9926, ..., -0.9994, -0.9994, -0.9994], [-0.9922, -0.9922, -0.9922, ..., -0.9994, -0.9994, -0.9994]], [[-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9933, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9924, -0.9925, -0.9926, ..., -0.9994, -0.9994, -0.9994], [-0.9922, -0.9922, -0.9922, ..., -0.9994, -0.9994, -0.9994]]]) [/INST]No pneumothorax, pleural effusion, or focal airspace disease. Heart size normal. Cardiomediastinal silhouette stable. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.</s>

<s>[INST] tensor([[[-0.9984, -0.9984, -0.9985, ..., -0.9985, -0.9983, -0.9982], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], ..., [-0.9954, -0.9960, -0.9965, ..., -0.9973, -0.9968, -0.9965], [-0.9954, -0.9960, -0.9965, ..., -0.9974, -0.9968, -0.9964], [-0.9953, -0.9960, -0.9965, ..., -0.9970, -0.9964, -0.9959]], [[-0.9984, -0.9984, -0.9985, ..., -0.9985, -0.9983, -0.9982], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], ..., [-0.9954, -0.9960, -0.9965, ..., -0.9973, -0.9968, -0.9965], [-0.9954, -0.9960, -0.9965, ..., -0.9974, -0.9968, -0.9964], [-0.9953, -0.9960, -0.9965, ..., -0.9970, -0.9964, -0.9959]], [[-0.9984, -0.9984, -0.9985, ..., -0.9985, -0.9983, -0.9982], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], ..., [-0.9954, -0.9960, -0.9965, ..., -0.9973, -0.9968, -0.9965], [-0.9954, -0.9960, -0.9965, ..., -0.9974, -0.9968, -0.9964], [-0.9953, -0.9960, -0.9965, ..., -0.9970, -0.9964, -0.9959]]]) [/INST]Heart size is normal. No focal airspace consolidations. No pneumothorax or pleural effusion. No acute osseous findings.</s>

<s>[INST] tensor([[[-0.9980, -0.9981, -0.9981, ..., -0.9989, -0.9989, -0.9989], [-0.9983, -0.9984, -0.9985, ..., -0.9989, -0.9989, -0.9989], [-0.9985, -0.9986, -0.9987, ..., -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, ..., -0.9989, -0.9989, -0.9989]], [[-0.9980, -0.9981, -0.9981, ..., -0.9989, -0.9989, -0.9989], [-0.9983, -0.9984, -0.9985, ..., -0.9989, -0.9989, -0.9989], [-0.9985, -0.9986, -0.9987, ..., -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, ..., -0.9989, -0.9989, -0.9989]], [[-0.9980, -0.9981, -0.9981, ..., -0.9989, -0.9989, -0.9989], [-0.9983, -0.9984, -0.9985, ..., -0.9989, -0.9989, -0.9989], [-0.9985, -0.9986, -0.9987, ..., -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, ..., -0.9989, -0.9989, -0.9989]]]) [/INST]Heart size is normal. No focal airspace consolidations. No pneumothorax or pleural effusion. No acute osseous findings.</s>

<s>[INST] tensor([[[-0.9959, -0.9958, -0.9956, ..., -0.9962, -0.9963, -0.9961], [-0.9957, -0.9957, -0.9956, ..., -0.9962, -0.9962, -0.9961], [-0.9955, -0.9956, -0.9956, ..., -0.9961, -0.9961, -0.9959], ..., [-0.9969, -0.9971, -0.9973, ..., -0.9977, -0.9976, -0.9972], [-0.9968, -0.9970, -0.9971, ..., -0.9974, -0.9973, -0.9970], [-0.9966, -0.9967, -0.9968, ..., -0.9970, -0.9969, -0.9966]], [[-0.9959, -0.9958, -0.9956, ..., -0.9962, -0.9963, -0.9961], [-0.9957, -0.9957, -0.9956, ..., -0.9962, -0.9962, -0.9961], [-0.9955, -0.9956, -0.9956, ..., -0.9961, -0.9961, -0.9959], ..., [-0.9969, -0.9971, -0.9973, ..., -0.9977, -0.9976, -0.9972], [-0.9968, -0.9970, -0.9971, ..., -0.9974, -0.9973, -0.9970], [-0.9966, -0.9967, -0.9968, ..., -0.9970, -0.9969, -0.9966]], [[-0.9959, -0.9958, -0.9956, ..., -0.9962, -0.9963, -0.9961], [-0.9957, -0.9957, -0.9956, ..., -0.9962, -0.9962, -0.9961], [-0.9955, -0.9956, -0.9956, ..., -0.9961, -0.9961, -0.9959], ..., [-0.9969, -0.9971, -0.9973, ..., -0.9977, -0.9976, -0.9972], [-0.9968, -0.9970, -0.9971, ..., -0.9974, -0.9973, -0.9970], [-0.9966, -0.9967, -0.9968, ..., -0.9970, -0.9969, -0.9966]]]) [/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. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.</s>

<s>[INST] tensor([[[-0.9978, -0.9978, -0.9979, ..., -0.9979, -0.9966, -0.9944], [-0.9979, -0.9980, -0.9980, ..., -0.9984, -0.9980, -0.9970], [-0.9980, -0.9981, -0.9981, ..., -0.9984, -0.9980, -0.9975], ..., [-0.9975, -0.9977, -0.9977, ..., -0.9983, -0.9982, -0.9980], [-0.9973, -0.9974, -0.9974, ..., -0.9974, -0.9973, -0.9972], [-0.9977, -0.9978, -0.9978, ..., -0.9941, -0.9939, -0.9938]], [[-0.9978, -0.9978, -0.9979, ..., -0.9979, -0.9966, -0.9944], [-0.9979, -0.9980, -0.9980, ..., -0.9984, -0.9980, -0.9970], [-0.9980, -0.9981, -0.9981, ..., -0.9984, -0.9980, -0.9975], ..., [-0.9975, -0.9977, -0.9977, ..., -0.9983, -0.9982, -0.9980], [-0.9973, -0.9974, -0.9974, ..., -0.9974, -0.9973, -0.9972], [-0.9977, -0.9978, -0.9978, ..., -0.9941, -0.9939, -0.9938]], [[-0.9978, -0.9978, -0.9979, ..., -0.9979, -0.9966, -0.9944], [-0.9979, -0.9980, -0.9980, ..., -0.9984, -0.9980, -0.9970], [-0.9980, -0.9981, -0.9981, ..., -0.9984, -0.9980, -0.9975], ..., [-0.9975, -0.9977, -0.9977, ..., -0.9983, -0.9982, -0.9980], [-0.9973, -0.9974, -0.9974, ..., -0.9974, -0.9973, -0.9972], [-0.9977, -0.9978, -0.9978, ..., -0.9941, -0.9939, -0.9938]]]) [/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. Fractures of the posterior left 4th, 5th, and 6th ribs, age-indeterminate.</s>

<s>[INST] tensor([[[-0.9989, -0.9991, -0.9991, ..., -0.9991, -0.9990, -0.9995], [-0.9993, -0.9996, -0.9997, ..., -0.9997, -0.9996, -0.9997], [-0.9995, -0.9998, -0.9999, ..., -0.9999, -0.9998, -0.9998], ..., [-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]], [[-0.9989, -0.9991, -0.9991, ..., -0.9991, -0.9990, -0.9995], [-0.9993, -0.9996, -0.9997, ..., -0.9997, -0.9996, -0.9997], [-0.9995, -0.9998, -0.9999, ..., -0.9999, -0.9998, -0.9998], ..., [-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]], [[-0.9989, -0.9991, -0.9991, ..., -0.9991, -0.9990, -0.9995], [-0.9993, -0.9996, -0.9997, ..., -0.9997, -0.9996, -0.9997], [-0.9995, -0.9998, -0.9999, ..., -0.9999, -0.9998, -0.9998], ..., [-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]]]) [/INST]Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.</s>

<s>[INST] tensor([[[-0.9994, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9984, -0.9982, -0.9978, ..., -1.0000, -1.0000, -1.0000], [-0.9985, -0.9983, -0.9980, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000]], [[-0.9994, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9984, -0.9982, -0.9978, ..., -1.0000, -1.0000, -1.0000], [-0.9985, -0.9983, -0.9980, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000]], [[-0.9994, -0.9994, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9984, -0.9982, -0.9978, ..., -1.0000, -1.0000, -1.0000], [-0.9985, -0.9983, -0.9980, ..., -1.0000, -1.0000, -1.0000], [-0.9997, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]Heart size and mediastinal contour within normal limits. Calcified granuloma right midlung. No focal airspace consolidation, pneumothorax, or large pleural effusion. Degenerative changes in the thoracic spine.</s>

<s>[INST] tensor([[[-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9992, -0.9990, -0.9987, ..., -0.9981, -0.9985, -0.9990], [-0.9990, -0.9988, -0.9985, ..., -0.9980, -0.9984, -0.9989], [-0.9989, -0.9986, -0.9983, ..., -0.9978, -0.9982, -0.9987]], [[-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9992, -0.9990, -0.9987, ..., -0.9981, -0.9985, -0.9990], [-0.9990, -0.9988, -0.9985, ..., -0.9980, -0.9984, -0.9989], [-0.9989, -0.9986, -0.9983, ..., -0.9978, -0.9982, -0.9987]], [[-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9997, -0.9997, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9992, -0.9990, -0.9987, ..., -0.9981, -0.9985, -0.9990], [-0.9990, -0.9988, -0.9985, ..., -0.9980, -0.9984, -0.9989], [-0.9989, -0.9986, -0.9983, ..., -0.9978, -0.9982, -0.9987]]]) [/INST]The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.</s>

<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-1.0000, -1.0000, -0.9999, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9998, -0.9997, -0.9996, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996]], [[-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-1.0000, -1.0000, -0.9999, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9998, -0.9997, -0.9996, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996]], [[-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-0.9999, -0.9999, -0.9999, ..., -0.9993, -0.9993, -0.9993], [-1.0000, -1.0000, -0.9999, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9998, -0.9997, -0.9996, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996], [-0.9997, -0.9996, -0.9995, ..., -0.9997, -0.9997, -0.9996]]]) [/INST]The cardiomediastinal silhouette is normal size and configuration. Pulmonary vasculature within normal limits. The lungs are well-aerated. There is no pneumothorax, pleural effusion, or focal consolidation.</s>

<s>[INST] tensor([[[-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9990, -0.9990], [-0.9985, -0.9987, -0.9987, ..., -0.9994, -0.9993, -0.9993], [-0.9985, -0.9988, -0.9988, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9967, -0.9966, -0.9964, ..., -0.9971, -0.9973, -0.9975], [-0.9967, -0.9966, -0.9964, ..., -0.9970, -0.9973, -0.9975], [-0.9968, -0.9965, -0.9963, ..., -0.9969, -0.9971, -0.9974]], [[-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9990, -0.9990], [-0.9985, -0.9987, -0.9987, ..., -0.9994, -0.9993, -0.9993], [-0.9985, -0.9988, -0.9988, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9967, -0.9966, -0.9964, ..., -0.9971, -0.9973, -0.9975], [-0.9967, -0.9966, -0.9964, ..., -0.9970, -0.9973, -0.9975], [-0.9968, -0.9965, -0.9963, ..., -0.9969, -0.9971, -0.9974]], [[-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9990, -0.9990], [-0.9985, -0.9987, -0.9987, ..., -0.9994, -0.9993, -0.9993], [-0.9985, -0.9988, -0.9988, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9967, -0.9966, -0.9964, ..., -0.9971, -0.9973, -0.9975], [-0.9967, -0.9966, -0.9964, ..., -0.9970, -0.9973, -0.9975], [-0.9968, -0.9965, -0.9963, ..., -0.9969, -0.9971, -0.9974]]]) [/INST]The heart is enlarged. Changes of XXXX sternotomy and bypass graft are identified in the lungs are grossly clear. XXXX right pleural thickening versus XXXX pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.</s>

<s>[INST] tensor([[[-0.9952, -0.9953, -0.9954, ..., -0.9993, -0.9993, -0.9993], [-0.9950, -0.9951, -0.9952, ..., -0.9993, -0.9993, -0.9993], [-0.9947, -0.9949, -0.9950, ..., -0.9994, -0.9993, -0.9993], ..., [-0.9940, -0.9941, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9944, -0.9944, -0.9945, ..., -0.9995, -0.9995, -0.9995]], [[-0.9952, -0.9953, -0.9954, ..., -0.9993, -0.9993, -0.9993], [-0.9950, -0.9951, -0.9952, ..., -0.9993, -0.9993, -0.9993], [-0.9947, -0.9949, -0.9950, ..., -0.9994, -0.9993, -0.9993], ..., [-0.9940, -0.9941, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9944, -0.9944, -0.9945, ..., -0.9995, -0.9995, -0.9995]], [[-0.9952, -0.9953, -0.9954, ..., -0.9993, -0.9993, -0.9993], [-0.9950, -0.9951, -0.9952, ..., -0.9993, -0.9993, -0.9993], [-0.9947, -0.9949, -0.9950, ..., -0.9994, -0.9993, -0.9993], ..., [-0.9940, -0.9941, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9944, -0.9944, -0.9945, ..., -0.9995, -0.9995, -0.9995]]]) [/INST]The heart is enlarged. Changes of XXXX sternotomy and bypass graft are identified in the lungs are grossly clear. XXXX right pleural thickening versus XXXX pleural effusion is noted. There is no acute infiltrate. No pneumothorax is seen. Mild granulomatous sequela are noted.</s>

<s>[INST] tensor([[[-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9954, -0.9955, -0.9955, ..., -0.9995, -0.9995, -0.9995], [-0.9953, -0.9953, -0.9954, ..., -0.9995, -0.9995, -0.9995], [-0.9950, -0.9951, -0.9951, ..., -0.9995, -0.9995, -0.9995]], [[-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9954, -0.9955, -0.9955, ..., -0.9995, -0.9995, -0.9995], [-0.9953, -0.9953, -0.9954, ..., -0.9995, -0.9995, -0.9995], [-0.9950, -0.9951, -0.9951, ..., -0.9995, -0.9995, -0.9995]], [[-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9954, -0.9955, -0.9955, ..., -0.9995, -0.9995, -0.9995], [-0.9953, -0.9953, -0.9954, ..., -0.9995, -0.9995, -0.9995], [-0.9950, -0.9951, -0.9951, ..., -0.9995, -0.9995, -0.9995]]]) [/INST]There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.</s>

<s>[INST] tensor([[[-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9940, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9988, -0.9987, -0.9988]], [[-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9940, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9988, -0.9987, -0.9988]], [[-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9939, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9940, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9996, ..., -0.9995, -0.9995, -0.9995], [-0.9996, -0.9996, -0.9996, ..., -0.9988, -0.9987, -0.9988]]]) [/INST]There is persistent, marked enlargement of the pulmonary arteries. Normal heart size. No focal airspace consolidation. No pleural effusion or pneumothorax. Visualized osseous structures are unremarkable in appearance.</s>

<s>[INST] tensor([[[-0.9987, -0.9993, -0.9993, ..., -0.9995, -0.9994, -0.9994], [-0.9988, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9995], [-0.9990, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9989, -0.9993, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9989, -0.9991, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9976, -0.9976, -0.9976]], [[-0.9987, -0.9993, -0.9993, ..., -0.9995, -0.9994, -0.9994], [-0.9988, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9995], [-0.9990, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9989, -0.9993, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9989, -0.9991, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9976, -0.9976, -0.9976]], [[-0.9987, -0.9993, -0.9993, ..., -0.9995, -0.9994, -0.9994], [-0.9988, -0.9993, -0.9993, ..., -0.9995, -0.9995, -0.9995], [-0.9990, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9989, -0.9993, -0.9994, ..., -0.9998, -0.9998, -0.9998], [-0.9989, -0.9991, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9976, -0.9976, -0.9976]]]) [/INST]The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.</s>

<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9993, -0.9994, -0.9995, ..., -0.9998, -0.9998, -0.9997], [-0.9986, -0.9989, -0.9990, ..., -0.9994, -0.9994, -0.9993], [-0.9984, -0.9990, -0.9990, ..., -0.9968, -0.9968, -0.9967]], [[-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9993, -0.9994, -0.9995, ..., -0.9998, -0.9998, -0.9997], [-0.9986, -0.9989, -0.9990, ..., -0.9994, -0.9994, -0.9993], [-0.9984, -0.9990, -0.9990, ..., -0.9968, -0.9968, -0.9967]], [[-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9993, -0.9994, -0.9995, ..., -0.9998, -0.9998, -0.9997], [-0.9986, -0.9989, -0.9990, ..., -0.9994, -0.9994, -0.9993], [-0.9984, -0.9990, -0.9990, ..., -0.9968, -0.9968, -0.9967]]]) [/INST]The lungs are clear, and without focal airspace opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax or large pleural effusion.</s>

<s>[INST] tensor([[[-0.9989, -0.9989, -0.9990, ..., -0.9973, -0.9974, -0.9974], [-0.9990, -0.9990, -0.9991, ..., -0.9971, -0.9972, -0.9973], [-0.9990, -0.9990, -0.9991, ..., -0.9970, -0.9970, -0.9971], ..., [-0.9992, -0.9991, -0.9991, ..., -0.9959, -0.9961, -0.9962], [-0.9991, -0.9991, -0.9992, ..., -0.9958, -0.9959, -0.9960], [-0.9991, -0.9991, -0.9992, ..., -0.9956, -0.9957, -0.9958]], [[-0.9989, -0.9989, -0.9990, ..., -0.9973, -0.9974, -0.9974], [-0.9990, -0.9990, -0.9991, ..., -0.9971, -0.9972, -0.9973], [-0.9990, -0.9990, -0.9991, ..., -0.9970, -0.9970, -0.9971], ..., [-0.9992, -0.9991, -0.9991, ..., -0.9959, -0.9961, -0.9962], [-0.9991, -0.9991, -0.9992, ..., -0.9958, -0.9959, -0.9960], [-0.9991, -0.9991, -0.9992, ..., -0.9956, -0.9957, -0.9958]], [[-0.9989, -0.9989, -0.9990, ..., -0.9973, -0.9974, -0.9974], [-0.9990, -0.9990, -0.9991, ..., -0.9971, -0.9972, -0.9973], [-0.9990, -0.9990, -0.9991, ..., -0.9970, -0.9970, -0.9971], ..., [-0.9992, -0.9991, -0.9991, ..., -0.9959, -0.9961, -0.9962], [-0.9991, -0.9991, -0.9992, ..., -0.9958, -0.9959, -0.9960], [-0.9991, -0.9991, -0.9992, ..., -0.9956, -0.9957, -0.9958]]]) [/INST]The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.</s>

<s>[INST] tensor([[[-0.9990, -0.9986, -0.9984, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9991, -0.9988, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9996, -0.9992, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9969, -0.9968, -0.9967, ..., -0.9948, -0.9948, -0.9945], [-0.9969, -0.9968, -0.9966, ..., -0.9946, -0.9945, -0.9936], [-0.9968, -0.9967, -0.9965, ..., -0.9934, -0.9934, -0.9930]], [[-0.9990, -0.9986, -0.9984, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9991, -0.9988, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9996, -0.9992, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9969, -0.9968, -0.9967, ..., -0.9948, -0.9948, -0.9945], [-0.9969, -0.9968, -0.9966, ..., -0.9946, -0.9945, -0.9936], [-0.9968, -0.9967, -0.9965, ..., -0.9934, -0.9934, -0.9930]], [[-0.9990, -0.9986, -0.9984, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9991, -0.9988, ..., -0.9997, -0.9997, -0.9997], [-0.9997, -0.9996, -0.9992, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9969, -0.9968, -0.9967, ..., -0.9948, -0.9948, -0.9945], [-0.9969, -0.9968, -0.9966, ..., -0.9946, -0.9945, -0.9936], [-0.9968, -0.9967, -0.9965, ..., -0.9934, -0.9934, -0.9930]]]) [/INST]The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pneumothorax. No pleural effusion. The thoracic spine appears intact. No acute, displaced rib fractures.</s>

<s>[INST] tensor([[[-0.9981, -0.9981, -0.9981, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9989, -0.9989, -0.9988], [-0.9981, -0.9982, -0.9982, ..., -0.9990, -0.9989, -0.9989], ..., [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9943, -0.9945, -0.9947]], [[-0.9981, -0.9981, -0.9981, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9989, -0.9989, -0.9988], [-0.9981, -0.9982, -0.9982, ..., -0.9990, -0.9989, -0.9989], ..., [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9943, -0.9945, -0.9947]], [[-0.9981, -0.9981, -0.9981, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9989, -0.9989, -0.9988], [-0.9981, -0.9982, -0.9982, ..., -0.9990, -0.9989, -0.9989], ..., [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9944, -0.9945, -0.9947], [-0.9966, -0.9964, -0.9954, ..., -0.9943, -0.9945, -0.9947]]]) [/INST]The heart size is normal. There is prominent left epicardial fat. The mediastinal contour is within normal limits. The lungs are free of any focal infiltrates. There are no nodules or masses. No visible pneumothorax. No visible pleural fluid. The XXXX are grossly normal. There is no visible free intraperitoneal air under the diaphragm.</s>

<s>[INST] tensor([[[-0.9976, -0.9978, -0.9978, ..., -0.9982, -0.9982, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9983, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9984, -0.9982], ..., [-0.9937, -0.9945, -0.9954, ..., -0.9982, -0.9982, -0.9981], [-0.9936, -0.9945, -0.9953, ..., -0.9966, -0.9965, -0.9964], [-0.9939, -0.9948, -0.9956, ..., -0.9941, -0.9940, -0.9938]], [[-0.9976, -0.9978, -0.9978, ..., -0.9982, -0.9982, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9983, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9984, -0.9982], ..., [-0.9937, -0.9945, -0.9954, ..., -0.9982, -0.9982, -0.9981], [-0.9936, -0.9945, -0.9953, ..., -0.9966, -0.9965, -0.9964], [-0.9939, -0.9948, -0.9956, ..., -0.9941, -0.9940, -0.9938]], [[-0.9976, -0.9978, -0.9978, ..., -0.9982, -0.9982, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9983, -0.9982], [-0.9976, -0.9978, -0.9979, ..., -0.9984, -0.9984, -0.9982], ..., [-0.9937, -0.9945, -0.9954, ..., -0.9982, -0.9982, -0.9981], [-0.9936, -0.9945, -0.9953, ..., -0.9966, -0.9965, -0.9964], [-0.9939, -0.9948, -0.9956, ..., -0.9941, -0.9940, -0.9938]]]) [/INST]Calcified left hilar lymph XXXX XXXX from prior granulomatous disease. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.</s>

<s>[INST] tensor([[[-0.9973, -0.9973, -0.9974, ..., -0.9987, -0.9987, -0.9986], [-0.9974, -0.9975, -0.9976, ..., -0.9988, -0.9987, -0.9987], [-0.9975, -0.9976, -0.9977, ..., -0.9988, -0.9987, -0.9986], ..., [-0.9942, -0.9950, -0.9959, ..., -0.9987, -0.9987, -0.9987], [-0.9942, -0.9951, -0.9960, ..., -0.9972, -0.9972, -0.9972], [-0.9947, -0.9957, -0.9966, ..., -0.9945, -0.9944, -0.9944]], [[-0.9973, -0.9973, -0.9974, ..., -0.9987, -0.9987, -0.9986], [-0.9974, -0.9975, -0.9976, ..., -0.9988, -0.9987, -0.9987], [-0.9975, -0.9976, -0.9977, ..., -0.9988, -0.9987, -0.9986], ..., [-0.9942, -0.9950, -0.9959, ..., -0.9987, -0.9987, -0.9987], [-0.9942, -0.9951, -0.9960, ..., -0.9972, -0.9972, -0.9972], [-0.9947, -0.9957, -0.9966, ..., -0.9945, -0.9944, -0.9944]], [[-0.9973, -0.9973, -0.9974, ..., -0.9987, -0.9987, -0.9986], [-0.9974, -0.9975, -0.9976, ..., -0.9988, -0.9987, -0.9987], [-0.9975, -0.9976, -0.9977, ..., -0.9988, -0.9987, -0.9986], ..., [-0.9942, -0.9950, -0.9959, ..., -0.9987, -0.9987, -0.9987], [-0.9942, -0.9951, -0.9960, ..., -0.9972, -0.9972, -0.9972], [-0.9947, -0.9957, -0.9966, ..., -0.9945, -0.9944, -0.9944]]]) [/INST]Calcified left hilar lymph XXXX XXXX from prior granulomatous disease. The cardiomediastinal silhouette is within normal limits for size. Pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces. No acute bony abnormality.</s>

<s>[INST] tensor([[[-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9996, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9943, -0.9943, -0.9942, ..., -0.9970, -0.9972, -0.9974], [-0.9943, -0.9942, -0.9941, ..., -0.9968, -0.9971, -0.9973], [-0.9943, -0.9942, -0.9941, ..., -0.9965, -0.9969, -0.9971]], [[-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9996, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9943, -0.9943, -0.9942, ..., -0.9970, -0.9972, -0.9974], [-0.9943, -0.9942, -0.9941, ..., -0.9968, -0.9971, -0.9973], [-0.9943, -0.9942, -0.9941, ..., -0.9965, -0.9969, -0.9971]], [[-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9995, ..., -0.9997, -0.9997, -0.9997], [-0.9995, -0.9995, -0.9996, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9943, -0.9943, -0.9942, ..., -0.9970, -0.9972, -0.9974], [-0.9943, -0.9942, -0.9941, ..., -0.9968, -0.9971, -0.9973], [-0.9943, -0.9942, -0.9941, ..., -0.9965, -0.9969, -0.9971]]]) [/INST]Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.</s>

<s>[INST] tensor([[[-0.9947, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9948, -0.9947, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9934, -0.9934, ..., -0.9954, -0.9956, -0.9957], [-0.9935, -0.9934, -0.9934, ..., -0.9953, -0.9954, -0.9954], [-0.9938, -0.9938, -0.9938, ..., -0.9942, -0.9942, -0.9943]], [[-0.9947, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9948, -0.9947, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9934, -0.9934, ..., -0.9954, -0.9956, -0.9957], [-0.9935, -0.9934, -0.9934, ..., -0.9953, -0.9954, -0.9954], [-0.9938, -0.9938, -0.9938, ..., -0.9942, -0.9942, -0.9943]], [[-0.9947, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9947, -0.9947, ..., -0.9995, -0.9995, -0.9995], [-0.9948, -0.9948, -0.9947, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9934, -0.9934, -0.9934, ..., -0.9954, -0.9956, -0.9957], [-0.9935, -0.9934, -0.9934, ..., -0.9953, -0.9954, -0.9954], [-0.9938, -0.9938, -0.9938, ..., -0.9942, -0.9942, -0.9943]]]) [/INST]Heart size within normal limits. Tortuous aorta. There is an accessory azygos fissure in the right upper lung. No focal air space consolidations are noted. No pneumothorax or pleural effusion. There is severe degenerative change at the thoracolumbar junction with mild anterior wedging at approximately T12.</s>

<s>[INST] tensor([[[-0.9970, -0.9980, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], ..., [-0.9938, -0.9938, -0.9936, ..., -0.9940, -0.9942, -0.9943], [-0.9938, -0.9938, -0.9935, ..., -0.9939, -0.9942, -0.9943], [-0.9938, -0.9936, -0.9933, ..., -0.9938, -0.9941, -0.9945]], [[-0.9970, -0.9980, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], ..., [-0.9938, -0.9938, -0.9936, ..., -0.9940, -0.9942, -0.9943], [-0.9938, -0.9938, -0.9935, ..., -0.9939, -0.9942, -0.9943], [-0.9938, -0.9936, -0.9933, ..., -0.9938, -0.9941, -0.9945]], [[-0.9970, -0.9980, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9971, -0.9981, -0.9984, ..., -0.9984, -0.9984, -0.9984], ..., [-0.9938, -0.9938, -0.9936, ..., -0.9940, -0.9942, -0.9943], [-0.9938, -0.9938, -0.9935, ..., -0.9939, -0.9942, -0.9943], [-0.9938, -0.9936, -0.9933, ..., -0.9938, -0.9941, -0.9945]]]) [/INST]2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is XXXX dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9983, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9984, -0.9983, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9940, -0.9942, -0.9943, ..., -0.9961, -0.9958, -0.9955], [-0.9944, -0.9946, -0.9950, ..., -0.9962, -0.9959, -0.9956], [-0.9950, -0.9954, -0.9957, ..., -0.9964, -0.9960, -0.9959]], [[-0.9983, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9984, -0.9983, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9940, -0.9942, -0.9943, ..., -0.9961, -0.9958, -0.9955], [-0.9944, -0.9946, -0.9950, ..., -0.9962, -0.9959, -0.9956], [-0.9950, -0.9954, -0.9957, ..., -0.9964, -0.9960, -0.9959]], [[-0.9983, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9983, -0.9983, ..., -0.9988, -0.9988, -0.9988], [-0.9984, -0.9984, -0.9983, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9940, -0.9942, -0.9943, ..., -0.9961, -0.9958, -0.9955], [-0.9944, -0.9946, -0.9950, ..., -0.9962, -0.9959, -0.9956], [-0.9950, -0.9954, -0.9957, ..., -0.9964, -0.9960, -0.9959]]]) [/INST]2 images. Heart size is enlarged, stable. Thoracic aortic atherosclerotic calcifications are present. There is XXXX dense consolidation within the retrocardiac left lower lobe. There is also patchy airspace opacity within the perihilar right lung. No pleural effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9985, -0.9985, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9995, -0.9995, -0.9994], [-0.9985, -0.9985, -0.9985, ..., -0.9996, -0.9995, -0.9994], ..., [-0.9974, -0.9975, -0.9975, ..., -0.9986, -0.9985, -0.9984], [-0.9970, -0.9971, -0.9972, ..., -0.9982, -0.9982, -0.9981], [-0.9966, -0.9966, -0.9968, ..., -0.9978, -0.9978, -0.9977]], [[-0.9985, -0.9985, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9995, -0.9995, -0.9994], [-0.9985, -0.9985, -0.9985, ..., -0.9996, -0.9995, -0.9994], ..., [-0.9974, -0.9975, -0.9975, ..., -0.9986, -0.9985, -0.9984], [-0.9970, -0.9971, -0.9972, ..., -0.9982, -0.9982, -0.9981], [-0.9966, -0.9966, -0.9968, ..., -0.9978, -0.9978, -0.9977]], [[-0.9985, -0.9985, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9995, -0.9995, -0.9994], [-0.9985, -0.9985, -0.9985, ..., -0.9996, -0.9995, -0.9994], ..., [-0.9974, -0.9975, -0.9975, ..., -0.9986, -0.9985, -0.9984], [-0.9970, -0.9971, -0.9972, ..., -0.9982, -0.9982, -0.9981], [-0.9966, -0.9966, -0.9968, ..., -0.9978, -0.9978, -0.9977]]]) [/INST]No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.</s>

<s>[INST] tensor([[[-0.9936, -0.9936, -0.9936, ..., -0.9993, -0.9993, -0.9993], [-0.9935, -0.9935, -0.9935, ..., -0.9993, -0.9993, -0.9993], [-0.9933, -0.9933, -0.9933, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9985, -0.9985, -0.9985]], [[-0.9936, -0.9936, -0.9936, ..., -0.9993, -0.9993, -0.9993], [-0.9935, -0.9935, -0.9935, ..., -0.9993, -0.9993, -0.9993], [-0.9933, -0.9933, -0.9933, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9985, -0.9985, -0.9985]], [[-0.9936, -0.9936, -0.9936, ..., -0.9993, -0.9993, -0.9993], [-0.9935, -0.9935, -0.9935, ..., -0.9993, -0.9993, -0.9993], [-0.9933, -0.9933, -0.9933, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9995], [-0.9994, -0.9994, -0.9994, ..., -0.9995, -0.9995, -0.9994], [-0.9994, -0.9994, -0.9994, ..., -0.9985, -0.9985, -0.9985]]]) [/INST]No focal consolidation. No visualized pneumothorax. No large pleural effusions. The heart size and cardiomediastinal silhouette are grossly unremarkable.</s>

<s>[INST] tensor([[[-0.9985, -0.9985, -0.9985, ..., -0.9982, -0.9978, -0.9978], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9979, -0.9979], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9979, -0.9975, -0.9972, ..., -0.9983, -0.9983, -0.9984], [-0.9977, -0.9974, -0.9971, ..., -0.9983, -0.9984, -0.9984], [-0.9974, -0.9972, -0.9969, ..., -0.9983, -0.9982, -0.9983]], [[-0.9985, -0.9985, -0.9985, ..., -0.9982, -0.9978, -0.9978], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9979, -0.9979], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9979, -0.9975, -0.9972, ..., -0.9983, -0.9983, -0.9984], [-0.9977, -0.9974, -0.9971, ..., -0.9983, -0.9984, -0.9984], [-0.9974, -0.9972, -0.9969, ..., -0.9983, -0.9982, -0.9983]], [[-0.9985, -0.9985, -0.9985, ..., -0.9982, -0.9978, -0.9978], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9979, -0.9979], [-0.9985, -0.9985, -0.9985, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9979, -0.9975, -0.9972, ..., -0.9983, -0.9983, -0.9984], [-0.9977, -0.9974, -0.9971, ..., -0.9983, -0.9984, -0.9984], [-0.9974, -0.9972, -0.9969, ..., -0.9983, -0.9982, -0.9983]]]) [/INST]The XXXX and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic XXXX is on the left. The trachea is well seen and appears normal. The lungs are clear.</s>

<s>[INST] tensor([[[-0.9988, -0.9988, -0.9988, ..., -0.9986, -0.9984, -0.9982], [-0.9988, -0.9988, -0.9987, ..., -0.9987, -0.9984, -0.9983], [-0.9987, -0.9987, -0.9987, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9987, -0.9986, -0.9979, ..., -0.9989, -0.9989, -0.9988], [-0.9988, -0.9984, -0.9978, ..., -0.9989, -0.9989, -0.9989], [-0.9986, -0.9983, -0.9978, ..., -0.9989, -0.9988, -0.9989]], [[-0.9988, -0.9988, -0.9988, ..., -0.9986, -0.9984, -0.9982], [-0.9988, -0.9988, -0.9987, ..., -0.9987, -0.9984, -0.9983], [-0.9987, -0.9987, -0.9987, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9987, -0.9986, -0.9979, ..., -0.9989, -0.9989, -0.9988], [-0.9988, -0.9984, -0.9978, ..., -0.9989, -0.9989, -0.9989], [-0.9986, -0.9983, -0.9978, ..., -0.9989, -0.9988, -0.9989]], [[-0.9988, -0.9988, -0.9988, ..., -0.9986, -0.9984, -0.9982], [-0.9988, -0.9988, -0.9987, ..., -0.9987, -0.9984, -0.9983], [-0.9987, -0.9987, -0.9987, ..., -0.9988, -0.9988, -0.9988], ..., [-0.9987, -0.9986, -0.9979, ..., -0.9989, -0.9989, -0.9988], [-0.9988, -0.9984, -0.9978, ..., -0.9989, -0.9989, -0.9989], [-0.9986, -0.9983, -0.9978, ..., -0.9989, -0.9988, -0.9989]]]) [/INST]The XXXX and soft tissue appear normal. The cardiac silhouette and mediastinum size are normal. The aortic XXXX is on the left. The trachea is well seen and appears normal. The lungs are clear.</s>

<s>[INST] tensor([[[-0.9992, -0.9991, -0.9991, ..., -0.9957, -0.9961, -0.9993], [-0.9991, -0.9990, -0.9990, ..., -0.9975, -0.9971, -0.9994], [-0.9991, -0.9990, -0.9991, ..., -0.9986, -0.9982, -0.9994], ..., [-0.9944, -0.9941, -0.9943, ..., -0.9986, -0.9986, -0.9994], [-0.9944, -0.9941, -0.9941, ..., -0.9984, -0.9984, -0.9994], [-0.9947, -0.9944, -0.9944, ..., -0.9983, -0.9982, -0.9994]], [[-0.9992, -0.9991, -0.9991, ..., -0.9957, -0.9961, -0.9993], [-0.9991, -0.9990, -0.9990, ..., -0.9975, -0.9971, -0.9994], [-0.9991, -0.9990, -0.9991, ..., -0.9986, -0.9982, -0.9994], ..., [-0.9944, -0.9941, -0.9943, ..., -0.9986, -0.9986, -0.9994], [-0.9944, -0.9941, -0.9941, ..., -0.9984, -0.9984, -0.9994], [-0.9947, -0.9944, -0.9944, ..., -0.9983, -0.9982, -0.9994]], [[-0.9992, -0.9991, -0.9991, ..., -0.9957, -0.9961, -0.9993], [-0.9991, -0.9990, -0.9990, ..., -0.9975, -0.9971, -0.9994], [-0.9991, -0.9990, -0.9991, ..., -0.9986, -0.9982, -0.9994], ..., [-0.9944, -0.9941, -0.9943, ..., -0.9986, -0.9986, -0.9994], [-0.9944, -0.9941, -0.9941, ..., -0.9984, -0.9984, -0.9994], [-0.9947, -0.9944, -0.9944, ..., -0.9983, -0.9982, -0.9994]]]) [/INST]Lungs appear clear. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.</s>

<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9949, -0.9944, -0.9942], [-0.9922, -0.9922, -0.9922, ..., -0.9945, -0.9942, -0.9941], [-0.9922, -0.9922, -0.9922, ..., -0.9942, -0.9939, -0.9939]], [[-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9949, -0.9944, -0.9942], [-0.9922, -0.9922, -0.9922, ..., -0.9945, -0.9942, -0.9941], [-0.9922, -0.9922, -0.9922, ..., -0.9942, -0.9939, -0.9939]], [[-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], [-1.0000, -1.0000, -1.0000, ..., -0.9993, -0.9993, -0.9994], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9949, -0.9944, -0.9942], [-0.9922, -0.9922, -0.9922, ..., -0.9945, -0.9942, -0.9941], [-0.9922, -0.9922, -0.9922, ..., -0.9942, -0.9939, -0.9939]]]) [/INST]Lungs appear clear. Heart and pulmonary XXXX appear normal. Pleural spaces are clear. Mediastinal contours are normal. No pneumothorax.</s>

<s>[INST] tensor([[[-0.9986, -0.9986, -0.9987, ..., -0.9992, -0.9992, -0.9992], [-0.9986, -0.9986, -0.9987, ..., -0.9991, -0.9992, -0.9992], [-0.9986, -0.9987, -0.9988, ..., -0.9984, -0.9988, -0.9991], ..., [-0.9962, -0.9969, -0.9976, ..., -0.9974, -0.9973, -0.9972], [-0.9962, -0.9968, -0.9977, ..., -0.9966, -0.9966, -0.9964], [-0.9962, -0.9968, -0.9978, ..., -0.9957, -0.9956, -0.9954]], [[-0.9986, -0.9986, -0.9987, ..., -0.9992, -0.9992, -0.9992], [-0.9986, -0.9986, -0.9987, ..., -0.9991, -0.9992, -0.9992], [-0.9986, -0.9987, -0.9988, ..., -0.9984, -0.9988, -0.9991], ..., [-0.9962, -0.9969, -0.9976, ..., -0.9974, -0.9973, -0.9972], [-0.9962, -0.9968, -0.9977, ..., -0.9966, -0.9966, -0.9964], [-0.9962, -0.9968, -0.9978, ..., -0.9957, -0.9956, -0.9954]], [[-0.9986, -0.9986, -0.9987, ..., -0.9992, -0.9992, -0.9992], [-0.9986, -0.9986, -0.9987, ..., -0.9991, -0.9992, -0.9992], [-0.9986, -0.9987, -0.9988, ..., -0.9984, -0.9988, -0.9991], ..., [-0.9962, -0.9969, -0.9976, ..., -0.9974, -0.9973, -0.9972], [-0.9962, -0.9968, -0.9977, ..., -0.9966, -0.9966, -0.9964], [-0.9962, -0.9968, -0.9978, ..., -0.9957, -0.9956, -0.9954]]]) [/INST]The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.</s>

<s>[INST] tensor([[[-0.9936, -0.9936, -0.9936, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9932, -0.9932, -0.9932, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9933, -0.9933, -0.9933, ..., -0.9958, -0.9958, -0.9959], [-0.9933, -0.9933, -0.9932, ..., -0.9956, -0.9956, -0.9956], [-0.9933, -0.9933, -0.9932, ..., -0.9939, -0.9940, -0.9940]], [[-0.9936, -0.9936, -0.9936, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9932, -0.9932, -0.9932, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9933, -0.9933, -0.9933, ..., -0.9958, -0.9958, -0.9959], [-0.9933, -0.9933, -0.9932, ..., -0.9956, -0.9956, -0.9956], [-0.9933, -0.9933, -0.9932, ..., -0.9939, -0.9940, -0.9940]], [[-0.9936, -0.9936, -0.9936, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9932, -0.9932, -0.9932, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9933, -0.9933, -0.9933, ..., -0.9958, -0.9958, -0.9959], [-0.9933, -0.9933, -0.9932, ..., -0.9956, -0.9956, -0.9956], [-0.9933, -0.9933, -0.9932, ..., -0.9939, -0.9940, -0.9940]]]) [/INST]The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Cardiomediastinal silhouette is unremarkable. Visualized osseous structures of the thorax are without acute abnormality.</s>

<s>[INST] tensor([[[-0.9981, -0.9982, -0.9982, ..., -0.9993, -0.9992, -0.9991], [-0.9982, -0.9982, -0.9982, ..., -0.9994, -0.9993, -0.9992], [-0.9981, -0.9982, -0.9982, ..., -0.9994, -0.9994, -0.9992], ..., [-0.9982, -0.9982, -0.9982, ..., -0.9990, -0.9988, -0.9985], [-0.9980, -0.9980, -0.9980, ..., -0.9987, -0.9985, -0.9983], [-0.9976, -0.9976, -0.9976, ..., -0.9983, -0.9981, -0.9980]], [[-0.9981, -0.9982, -0.9982, ..., -0.9993, -0.9992, -0.9991], [-0.9982, -0.9982, -0.9982, ..., -0.9994, -0.9993, -0.9992], [-0.9981, -0.9982, -0.9982, ..., -0.9994, -0.9994, -0.9992], ..., [-0.9982, -0.9982, -0.9982, ..., -0.9990, -0.9988, -0.9985], [-0.9980, -0.9980, -0.9980, ..., -0.9987, -0.9985, -0.9983], [-0.9976, -0.9976, -0.9976, ..., -0.9983, -0.9981, -0.9980]], [[-0.9981, -0.9982, -0.9982, ..., -0.9993, -0.9992, -0.9991], [-0.9982, -0.9982, -0.9982, ..., -0.9994, -0.9993, -0.9992], [-0.9981, -0.9982, -0.9982, ..., -0.9994, -0.9994, -0.9992], ..., [-0.9982, -0.9982, -0.9982, ..., -0.9990, -0.9988, -0.9985], [-0.9980, -0.9980, -0.9980, ..., -0.9987, -0.9985, -0.9983], [-0.9976, -0.9976, -0.9976, ..., -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([[[-0.9995, -0.9996, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9993, -0.9994, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9953, -0.9951, -0.9949, ..., -0.9994, -0.9993, -0.9965], [-0.9955, -0.9953, -0.9950, ..., -0.9992, -0.9992, -0.9970], [-0.9958, -0.9955, -0.9953, ..., -0.9975, -0.9975, -0.9970]], [[-0.9995, -0.9996, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9993, -0.9994, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9953, -0.9951, -0.9949, ..., -0.9994, -0.9993, -0.9965], [-0.9955, -0.9953, -0.9950, ..., -0.9992, -0.9992, -0.9970], [-0.9958, -0.9955, -0.9953, ..., -0.9975, -0.9975, -0.9970]], [[-0.9995, -0.9996, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9993, -0.9994, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9953, -0.9951, -0.9949, ..., -0.9994, -0.9993, -0.9965], [-0.9955, -0.9953, -0.9950, ..., -0.9992, -0.9992, -0.9970], [-0.9958, -0.9955, -0.9953, ..., -0.9975, -0.9975, -0.9970]]]) [/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([[[-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], [-0.9999, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], ..., [-0.9987, -0.9988, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9996, -0.9996, -0.9996, ..., -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, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], [-0.9999, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], ..., [-0.9987, -0.9988, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9996, -0.9996, -0.9996, ..., -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, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], [-0.9999, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000], ..., [-0.9987, -0.9988, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9996, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The trachea is midline. Cardiomediastinal silhouette is normal. There is a calcified density in the left mid lung, most XXXX a calcified granuloma. Lungs are otherwise clear, without evidence of acute infiltrate or effusion. Specifically, there is no evidence of tuberculous disease. There is no pneumothorax. The bony structures show no acute abnormalities.</s>

<s>[INST] tensor([[[-0.9996, -0.9996, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9995, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9994, -0.9993, ..., -0.9998, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000]], [[-0.9996, -0.9996, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9995, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9994, -0.9993, ..., -0.9998, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000]], [[-0.9996, -0.9996, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9995, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9995, -0.9994, -0.9993, ..., -0.9998, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -1.0000, -1.0000]]]) [/INST]The trachea is midline. Cardiomediastinal silhouette is normal. There is a calcified density in the left mid lung, most XXXX a calcified granuloma. Lungs are otherwise clear, without evidence of acute infiltrate or effusion. Specifically, there is no evidence of tuberculous disease. There is no pneumothorax. The bony structures show no acute abnormalities.</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], ..., [-0.9987, -0.9979, -0.9973, ..., -0.9990, -0.9989, -0.9991], [-0.9976, -0.9967, -0.9960, ..., -0.9978, -0.9977, -0.9983], [-0.9965, -0.9960, -0.9956, ..., -0.9976, -0.9976, -0.9982]], [[-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], ..., [-0.9987, -0.9979, -0.9973, ..., -0.9990, -0.9989, -0.9991], [-0.9976, -0.9967, -0.9960, ..., -0.9978, -0.9977, -0.9983], [-0.9965, -0.9960, -0.9956, ..., -0.9976, -0.9976, -0.9982]], [[-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], ..., [-0.9987, -0.9979, -0.9973, ..., -0.9990, -0.9989, -0.9991], [-0.9976, -0.9967, -0.9960, ..., -0.9978, -0.9977, -0.9983], [-0.9965, -0.9960, -0.9956, ..., -0.9976, -0.9976, -0.9982]]]) [/INST]The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.</s>

<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9996, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9998, -0.9997, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9999, -0.9997, -0.9998], ..., [-0.9966, -0.9965, -0.9964, ..., -0.9999, -0.9997, -0.9997], [-0.9961, -0.9960, -0.9960, ..., -0.9999, -0.9998, -0.9998], [-0.9964, -0.9963, -0.9963, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9996, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9998, -0.9997, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9999, -0.9997, -0.9998], ..., [-0.9966, -0.9965, -0.9964, ..., -0.9999, -0.9997, -0.9997], [-0.9961, -0.9960, -0.9960, ..., -0.9999, -0.9998, -0.9998], [-0.9964, -0.9963, -0.9963, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9996, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9998, -0.9997, -0.9998], [-1.0000, -0.9999, -0.9999, ..., -0.9999, -0.9997, -0.9998], ..., [-0.9966, -0.9965, -0.9964, ..., -0.9999, -0.9997, -0.9997], [-0.9961, -0.9960, -0.9960, ..., -0.9999, -0.9998, -0.9998], [-0.9964, -0.9963, -0.9963, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of acute infiltrate or effusion. There is no evidence of tuberculous disease. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.</s>

<s>[INST] tensor([[[-0.9988, -0.9989, -0.9989, ..., -0.9942, -0.9940, -0.9942], [-0.9995, -0.9995, -0.9995, ..., -0.9944, -0.9942, -0.9944], [-0.9995, -0.9995, -0.9995, ..., -0.9945, -0.9943, -0.9945], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9939, -0.9929, -0.9930], [-0.9992, -0.9993, -0.9994, ..., -0.9930, -0.9925, -0.9927], [-0.9982, -0.9984, -0.9986, ..., -0.9923, -0.9922, -0.9926]], [[-0.9988, -0.9989, -0.9989, ..., -0.9942, -0.9940, -0.9942], [-0.9995, -0.9995, -0.9995, ..., -0.9944, -0.9942, -0.9944], [-0.9995, -0.9995, -0.9995, ..., -0.9945, -0.9943, -0.9945], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9939, -0.9929, -0.9930], [-0.9992, -0.9993, -0.9994, ..., -0.9930, -0.9925, -0.9927], [-0.9982, -0.9984, -0.9986, ..., -0.9923, -0.9922, -0.9926]], [[-0.9988, -0.9989, -0.9989, ..., -0.9942, -0.9940, -0.9942], [-0.9995, -0.9995, -0.9995, ..., -0.9944, -0.9942, -0.9944], [-0.9995, -0.9995, -0.9995, ..., -0.9945, -0.9943, -0.9945], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9939, -0.9929, -0.9930], [-0.9992, -0.9993, -0.9994, ..., -0.9930, -0.9925, -0.9927], [-0.9982, -0.9984, -0.9986, ..., -0.9923, -0.9922, -0.9926]]]) [/INST]No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.</s>

<s>[INST] tensor([[[-0.9957, -0.9958, -0.9958, ..., -0.9981, -0.9980, -0.9981], [-0.9967, -0.9969, -0.9970, ..., -0.9983, -0.9982, -0.9983], [-0.9964, -0.9966, -0.9968, ..., -0.9984, -0.9983, -0.9984], ..., [-0.9963, -0.9963, -0.9962, ..., -0.9996, -0.9983, -0.9977], [-0.9956, -0.9956, -0.9955, ..., -0.9991, -0.9980, -0.9975], [-0.9947, -0.9947, -0.9947, ..., -0.9980, -0.9975, -0.9973]], [[-0.9957, -0.9958, -0.9958, ..., -0.9981, -0.9980, -0.9981], [-0.9967, -0.9969, -0.9970, ..., -0.9983, -0.9982, -0.9983], [-0.9964, -0.9966, -0.9968, ..., -0.9984, -0.9983, -0.9984], ..., [-0.9963, -0.9963, -0.9962, ..., -0.9996, -0.9983, -0.9977], [-0.9956, -0.9956, -0.9955, ..., -0.9991, -0.9980, -0.9975], [-0.9947, -0.9947, -0.9947, ..., -0.9980, -0.9975, -0.9973]], [[-0.9957, -0.9958, -0.9958, ..., -0.9981, -0.9980, -0.9981], [-0.9967, -0.9969, -0.9970, ..., -0.9983, -0.9982, -0.9983], [-0.9964, -0.9966, -0.9968, ..., -0.9984, -0.9983, -0.9984], ..., [-0.9963, -0.9963, -0.9962, ..., -0.9996, -0.9983, -0.9977], [-0.9956, -0.9956, -0.9955, ..., -0.9991, -0.9980, -0.9975], [-0.9947, -0.9947, -0.9947, ..., -0.9980, -0.9975, -0.9973]]]) [/INST]No focal areas of consolidation. No pleural effusions. No evidence of pneumothorax. Heart size within normal limits. Osseous structures intact.</s>

<s>[INST] tensor([[[-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9983, -0.9983, -0.9983], [-0.9979, -0.9979, -0.9979, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9943, -0.9941, -0.9938, ..., -0.9977, -0.9977, -0.9976], [-0.9940, -0.9939, -0.9936, ..., -0.9967, -0.9967, -0.9967], [-0.9936, -0.9935, -0.9933, ..., -0.9956, -0.9956, -0.9953]], [[-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9983, -0.9983, -0.9983], [-0.9979, -0.9979, -0.9979, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9943, -0.9941, -0.9938, ..., -0.9977, -0.9977, -0.9976], [-0.9940, -0.9939, -0.9936, ..., -0.9967, -0.9967, -0.9967], [-0.9936, -0.9935, -0.9933, ..., -0.9956, -0.9956, -0.9953]], [[-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9982, -0.9982, ..., -0.9983, -0.9983, -0.9983], [-0.9979, -0.9979, -0.9979, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9943, -0.9941, -0.9938, ..., -0.9977, -0.9977, -0.9976], [-0.9940, -0.9939, -0.9936, ..., -0.9967, -0.9967, -0.9967], [-0.9936, -0.9935, -0.9933, ..., -0.9956, -0.9956, -0.9953]]]) [/INST]The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.</s>

<s>[INST] tensor([[[-0.9984, -0.9984, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9994, -0.9994, -0.9994], [-0.9986, -0.9986, -0.9987, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9928, -0.9927, ..., -0.9996, -0.9996, -0.9996], [-0.9926, -0.9926, -0.9925, ..., -0.9994, -0.9994, -0.9993], [-0.9925, -0.9925, -0.9925, ..., -0.9972, -0.9971, -0.9969]], [[-0.9984, -0.9984, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9994, -0.9994, -0.9994], [-0.9986, -0.9986, -0.9987, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9928, -0.9927, ..., -0.9996, -0.9996, -0.9996], [-0.9926, -0.9926, -0.9925, ..., -0.9994, -0.9994, -0.9993], [-0.9925, -0.9925, -0.9925, ..., -0.9972, -0.9971, -0.9969]], [[-0.9984, -0.9984, -0.9985, ..., -0.9994, -0.9994, -0.9994], [-0.9985, -0.9986, -0.9986, ..., -0.9994, -0.9994, -0.9994], [-0.9986, -0.9986, -0.9987, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9928, -0.9927, ..., -0.9996, -0.9996, -0.9996], [-0.9926, -0.9926, -0.9925, ..., -0.9994, -0.9994, -0.9993], [-0.9925, -0.9925, -0.9925, ..., -0.9972, -0.9971, -0.9969]]]) [/INST]The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pleural effusion is identified.</s>

<s>[INST] tensor([[[-0.9976, -0.9975, -0.9970, ..., -0.9975, -0.9975, -0.9975], [-0.9976, -0.9976, -0.9969, ..., -0.9976, -0.9976, -0.9976], [-0.9976, -0.9976, -0.9971, ..., -0.9976, -0.9976, -0.9976], ..., [-0.9976, -0.9974, -0.9969, ..., -0.9955, -0.9951, -0.9947], [-0.9976, -0.9973, -0.9969, ..., -0.9954, -0.9951, -0.9953], [-0.9973, -0.9973, -0.9968, ..., -0.9955, -0.9953, -0.9952]], [[-0.9976, -0.9975, -0.9970, ..., -0.9975, -0.9975, -0.9975], [-0.9976, -0.9976, -0.9969, ..., -0.9976, -0.9976, -0.9976], [-0.9976, -0.9976, -0.9971, ..., -0.9976, -0.9976, -0.9976], ..., [-0.9976, -0.9974, -0.9969, ..., -0.9955, -0.9951, -0.9947], [-0.9976, -0.9973, -0.9969, ..., -0.9954, -0.9951, -0.9953], [-0.9973, -0.9973, -0.9968, ..., -0.9955, -0.9953, -0.9952]], [[-0.9976, -0.9975, -0.9970, ..., -0.9975, -0.9975, -0.9975], [-0.9976, -0.9976, -0.9969, ..., -0.9976, -0.9976, -0.9976], [-0.9976, -0.9976, -0.9971, ..., -0.9976, -0.9976, -0.9976], ..., [-0.9976, -0.9974, -0.9969, ..., -0.9955, -0.9951, -0.9947], [-0.9976, -0.9973, -0.9969, ..., -0.9954, -0.9951, -0.9953], [-0.9973, -0.9973, -0.9968, ..., -0.9955, -0.9953, -0.9952]]]) [/INST]There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9929, -0.9929, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9937, -0.9937, -0.9937, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9972, -0.9977], [-0.9931, -0.9932, -0.9933, ..., -0.9970, -0.9975, -0.9984], [-0.9933, -0.9934, -0.9935, ..., -0.9975, -0.9982, -0.9992]], [[-0.9929, -0.9929, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9937, -0.9937, -0.9937, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9972, -0.9977], [-0.9931, -0.9932, -0.9933, ..., -0.9970, -0.9975, -0.9984], [-0.9933, -0.9934, -0.9935, ..., -0.9975, -0.9982, -0.9992]], [[-0.9929, -0.9929, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9934, -0.9934, -0.9934, ..., -0.9994, -0.9994, -0.9994], [-0.9937, -0.9937, -0.9937, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9972, -0.9977], [-0.9931, -0.9932, -0.9933, ..., -0.9970, -0.9975, -0.9984], [-0.9933, -0.9934, -0.9935, ..., -0.9975, -0.9982, -0.9992]]]) [/INST]There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9979, -0.9978, -0.9978, ..., -0.9991, -0.9996, -0.9996], [-0.9986, -0.9986, -0.9986, ..., -0.9994, -0.9997, -0.9998], [-0.9993, -0.9991, -0.9991, ..., -0.9996, -0.9998, -0.9998], ..., [-0.9922, -0.9923, -0.9924, ..., -0.9993, -0.9993, -0.9993], [-0.9924, -0.9925, -0.9925, ..., -0.9993, -0.9993, -0.9993], [-0.9928, -0.9929, -0.9929, ..., -0.9993, -0.9993, -0.9993]], [[-0.9979, -0.9978, -0.9978, ..., -0.9991, -0.9996, -0.9996], [-0.9986, -0.9986, -0.9986, ..., -0.9994, -0.9997, -0.9998], [-0.9993, -0.9991, -0.9991, ..., -0.9996, -0.9998, -0.9998], ..., [-0.9922, -0.9923, -0.9924, ..., -0.9993, -0.9993, -0.9993], [-0.9924, -0.9925, -0.9925, ..., -0.9993, -0.9993, -0.9993], [-0.9928, -0.9929, -0.9929, ..., -0.9993, -0.9993, -0.9993]], [[-0.9979, -0.9978, -0.9978, ..., -0.9991, -0.9996, -0.9996], [-0.9986, -0.9986, -0.9986, ..., -0.9994, -0.9997, -0.9998], [-0.9993, -0.9991, -0.9991, ..., -0.9996, -0.9998, -0.9998], ..., [-0.9922, -0.9923, -0.9924, ..., -0.9993, -0.9993, -0.9993], [-0.9924, -0.9925, -0.9925, ..., -0.9993, -0.9993, -0.9993], [-0.9928, -0.9929, -0.9929, ..., -0.9993, -0.9993, -0.9993]]]) [/INST]There is stable mild cardiomegaly without significant pulmonary vascular congestion. They're stable tortuosity of the aorta. There is no acute pulmonary consolidation, large effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9990, -0.9990, -0.9989, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9991, -0.9991, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9955, -0.9954, -0.9953, ..., -0.9962, -0.9963, -0.9963], [-0.9958, -0.9957, -0.9956, ..., -0.9959, -0.9960, -0.9960], [-0.9961, -0.9960, -0.9959, ..., -0.9935, -0.9935, -0.9935]], [[-0.9990, -0.9990, -0.9989, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9991, -0.9991, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9955, -0.9954, -0.9953, ..., -0.9962, -0.9963, -0.9963], [-0.9958, -0.9957, -0.9956, ..., -0.9959, -0.9960, -0.9960], [-0.9961, -0.9960, -0.9959, ..., -0.9935, -0.9935, -0.9935]], [[-0.9990, -0.9990, -0.9989, ..., -0.9994, -0.9994, -0.9994], [-0.9991, -0.9991, -0.9991, ..., -0.9994, -0.9994, -0.9994], [-0.9992, -0.9992, -0.9992, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9955, -0.9954, -0.9953, ..., -0.9962, -0.9963, -0.9963], [-0.9958, -0.9957, -0.9956, ..., -0.9959, -0.9960, -0.9960], [-0.9961, -0.9960, -0.9959, ..., -0.9935, -0.9935, -0.9935]]]) [/INST]XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9992, -0.9992], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9993, -0.9991, ..., -0.9988, -0.9987, -0.9986]], [[-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9992, -0.9992], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9993, -0.9991, ..., -0.9988, -0.9987, -0.9986]], [[-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9992, -0.9992], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], [-0.9991, -0.9991, -0.9991, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9989, -0.9985, -0.9982, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9993, -0.9991, ..., -0.9988, -0.9987, -0.9986]]]) [/INST]XXXX XXXX and lateral chest examination was obtained. The heart silhouette is normal in size and contour. Aortic XXXX appear unremarkable. Lungs demonstrate no acute findings. There is no effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9976, -0.9976, -0.9976, ..., -0.9981, -0.9978, -0.9977], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9979, -0.9979], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9982, -0.9982], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9983, -0.9983, -0.9982], [-0.9986, -0.9986, -0.9986, ..., -0.9980, -0.9979, -0.9979], [-0.9982, -0.9982, -0.9982, ..., -0.9973, -0.9973, -0.9973]], [[-0.9976, -0.9976, -0.9976, ..., -0.9981, -0.9978, -0.9977], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9979, -0.9979], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9982, -0.9982], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9983, -0.9983, -0.9982], [-0.9986, -0.9986, -0.9986, ..., -0.9980, -0.9979, -0.9979], [-0.9982, -0.9982, -0.9982, ..., -0.9973, -0.9973, -0.9973]], [[-0.9976, -0.9976, -0.9976, ..., -0.9981, -0.9978, -0.9977], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9979, -0.9979], [-0.9976, -0.9976, -0.9976, ..., -0.9982, -0.9982, -0.9982], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9983, -0.9983, -0.9982], [-0.9986, -0.9986, -0.9986, ..., -0.9980, -0.9979, -0.9979], [-0.9982, -0.9982, -0.9982, ..., -0.9973, -0.9973, -0.9973]]]) [/INST]XXXX XXXX and lateral views of the chest were obtained on XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.</s>

<s>[INST] tensor([[[-0.9985, -0.9985, -0.9985, ..., -0.9987, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9989, -0.9985, -0.9986], [-0.9986, -0.9985, -0.9985, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9976, -0.9976, -0.9976], [-0.9979, -0.9979, -0.9979, ..., -0.9970, -0.9970, -0.9969], [-0.9976, -0.9976, -0.9976, ..., -0.9964, -0.9964, -0.9964]], [[-0.9985, -0.9985, -0.9985, ..., -0.9987, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9989, -0.9985, -0.9986], [-0.9986, -0.9985, -0.9985, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9976, -0.9976, -0.9976], [-0.9979, -0.9979, -0.9979, ..., -0.9970, -0.9970, -0.9969], [-0.9976, -0.9976, -0.9976, ..., -0.9964, -0.9964, -0.9964]], [[-0.9985, -0.9985, -0.9985, ..., -0.9987, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9989, -0.9985, -0.9986], [-0.9986, -0.9985, -0.9985, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9976, -0.9976, -0.9976], [-0.9979, -0.9979, -0.9979, ..., -0.9970, -0.9970, -0.9969], [-0.9976, -0.9976, -0.9976, ..., -0.9964, -0.9964, -0.9964]]]) [/INST]XXXX XXXX and lateral views of the chest were obtained on XXXX. The lung volumes are normal. The lungs are clear and there are no pleural effusions. The mediastinum and pulmonary XXXX are normal. The bony elements are not remarkable.</s>

<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9975, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9973, -0.9977], [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9974, -0.9978], [-0.9993, -0.9993, -0.9993, ..., -0.9969, -0.9976, -0.9978]], [[-0.9993, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9975, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9973, -0.9977], [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9974, -0.9978], [-0.9993, -0.9993, -0.9993, ..., -0.9969, -0.9976, -0.9978]], [[-0.9993, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9975, -0.9974, -0.9974], [-0.9992, -0.9993, -0.9993, ..., -0.9974, -0.9974, -0.9974], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9973, -0.9977], [-0.9993, -0.9993, -0.9993, ..., -0.9968, -0.9974, -0.9978], [-0.9993, -0.9993, -0.9993, ..., -0.9969, -0.9976, -0.9978]]]) [/INST]No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.</s>

<s>[INST] tensor([[[-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9966, -0.9958], [-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9967, -0.9959], [-0.9991, -0.9991, -0.9991, ..., -0.9985, -0.9968, -0.9959], ..., [-0.9976, -0.9974, -0.9972, ..., -0.9966, -0.9961, -0.9959], [-0.9976, -0.9974, -0.9973, ..., -0.9965, -0.9960, -0.9958], [-0.9984, -0.9982, -0.9981, ..., -0.9966, -0.9961, -0.9959]], [[-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9966, -0.9958], [-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9967, -0.9959], [-0.9991, -0.9991, -0.9991, ..., -0.9985, -0.9968, -0.9959], ..., [-0.9976, -0.9974, -0.9972, ..., -0.9966, -0.9961, -0.9959], [-0.9976, -0.9974, -0.9973, ..., -0.9965, -0.9960, -0.9958], [-0.9984, -0.9982, -0.9981, ..., -0.9966, -0.9961, -0.9959]], [[-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9966, -0.9958], [-0.9991, -0.9991, -0.9991, ..., -0.9984, -0.9967, -0.9959], [-0.9991, -0.9991, -0.9991, ..., -0.9985, -0.9968, -0.9959], ..., [-0.9976, -0.9974, -0.9972, ..., -0.9966, -0.9961, -0.9959], [-0.9976, -0.9974, -0.9973, ..., -0.9965, -0.9960, -0.9958], [-0.9984, -0.9982, -0.9981, ..., -0.9966, -0.9961, -0.9959]]]) [/INST]No focal lung consolidation. Heart size and pulmonary vascularity are within normal limits. No pneumothorax or pleural effusion. Osseous structures are grossly intact.</s>

<s>[INST] tensor([[[-0.9993, -0.9996, -0.9995, ..., -0.9953, -0.9967, -0.9989], [-0.9997, -0.9998, -0.9998, ..., -0.9994, -0.9995, -0.9994], [-0.9997, -0.9998, -0.9998, ..., -0.9996, -0.9996, -0.9994], ..., [-0.9997, -0.9998, -0.9996, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9998, -0.9997, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9997, -0.9996, ..., -0.9994, -0.9994, -0.9992]], [[-0.9993, -0.9996, -0.9995, ..., -0.9953, -0.9967, -0.9989], [-0.9997, -0.9998, -0.9998, ..., -0.9994, -0.9995, -0.9994], [-0.9997, -0.9998, -0.9998, ..., -0.9996, -0.9996, -0.9994], ..., [-0.9997, -0.9998, -0.9996, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9998, -0.9997, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9997, -0.9996, ..., -0.9994, -0.9994, -0.9992]], [[-0.9993, -0.9996, -0.9995, ..., -0.9953, -0.9967, -0.9989], [-0.9997, -0.9998, -0.9998, ..., -0.9994, -0.9995, -0.9994], [-0.9997, -0.9998, -0.9998, ..., -0.9996, -0.9996, -0.9994], ..., [-0.9997, -0.9998, -0.9996, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9998, -0.9997, ..., -0.9994, -0.9994, -0.9992], [-0.9996, -0.9997, -0.9996, ..., -0.9994, -0.9994, -0.9992]]]) [/INST]The lungs are clear. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion.</s>

<s>[INST] tensor([[[-0.9979, -0.9980, -0.9980, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9980, -0.9980, -0.9980, ..., -0.9976, -0.9978, -0.9983], [-0.9981, -0.9981, -0.9981, ..., -0.9975, -0.9978, -0.9983], [-0.9980, -0.9980, -0.9981, ..., -0.9974, -0.9977, -0.9983]], [[-0.9979, -0.9980, -0.9980, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9980, -0.9980, -0.9980, ..., -0.9976, -0.9978, -0.9983], [-0.9981, -0.9981, -0.9981, ..., -0.9975, -0.9978, -0.9983], [-0.9980, -0.9980, -0.9981, ..., -0.9974, -0.9977, -0.9983]], [[-0.9979, -0.9980, -0.9980, ..., -0.9983, -0.9982, -0.9982], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], [-0.9981, -0.9982, -0.9982, ..., -0.9986, -0.9986, -0.9986], ..., [-0.9980, -0.9980, -0.9980, ..., -0.9976, -0.9978, -0.9983], [-0.9981, -0.9981, -0.9981, ..., -0.9975, -0.9978, -0.9983], [-0.9980, -0.9980, -0.9981, ..., -0.9974, -0.9977, -0.9983]]]) [/INST]Stable cardiomediastinal contour is mild cardiomegaly. No pneumothorax or significant pulmonary edema. Small left pleural effusion. No focal lung consolidation. Mildly low lung volumes.</s>

<s>[INST] tensor([[[-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9996], [-0.9990, -0.9990, -0.9989, ..., -0.9997, -0.9997, -0.9997], [-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9993, -0.9994, -0.9994, ..., -0.9959, -0.9964, -0.9969], [-0.9994, -0.9994, -0.9994, ..., -0.9961, -0.9965, -0.9970], [-0.9996, -0.9997, -0.9997, ..., -0.9950, -0.9954, -0.9957]], [[-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9996], [-0.9990, -0.9990, -0.9989, ..., -0.9997, -0.9997, -0.9997], [-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9993, -0.9994, -0.9994, ..., -0.9959, -0.9964, -0.9969], [-0.9994, -0.9994, -0.9994, ..., -0.9961, -0.9965, -0.9970], [-0.9996, -0.9997, -0.9997, ..., -0.9950, -0.9954, -0.9957]], [[-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9996], [-0.9990, -0.9990, -0.9989, ..., -0.9997, -0.9997, -0.9997], [-0.9989, -0.9989, -0.9989, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9993, -0.9994, -0.9994, ..., -0.9959, -0.9964, -0.9969], [-0.9994, -0.9994, -0.9994, ..., -0.9961, -0.9965, -0.9970], [-0.9996, -0.9997, -0.9997, ..., -0.9950, -0.9954, -0.9957]]]) [/INST]Stable cardiomediastinal contour is mild cardiomegaly. No pneumothorax or significant pulmonary edema. Small left pleural effusion. No focal lung consolidation. Mildly low lung volumes.</s>

<s>[INST] tensor([[[-0.9974, -0.9974, -0.9974, ..., -0.9963, -0.9962, -0.9961], [-0.9978, -0.9978, -0.9978, ..., -0.9970, -0.9970, -0.9968], [-0.9982, -0.9980, -0.9978, ..., -0.9976, -0.9975, -0.9974], ..., [-0.9978, -0.9979, -0.9980, ..., -0.9978, -0.9970, -0.9962], [-0.9982, -0.9983, -0.9983, ..., -0.9977, -0.9969, -0.9961], [-0.9978, -0.9982, -0.9983, ..., -0.9978, -0.9970, -0.9962]], [[-0.9974, -0.9974, -0.9974, ..., -0.9963, -0.9962, -0.9961], [-0.9978, -0.9978, -0.9978, ..., -0.9970, -0.9970, -0.9968], [-0.9982, -0.9980, -0.9978, ..., -0.9976, -0.9975, -0.9974], ..., [-0.9978, -0.9979, -0.9980, ..., -0.9978, -0.9970, -0.9962], [-0.9982, -0.9983, -0.9983, ..., -0.9977, -0.9969, -0.9961], [-0.9978, -0.9982, -0.9983, ..., -0.9978, -0.9970, -0.9962]], [[-0.9974, -0.9974, -0.9974, ..., -0.9963, -0.9962, -0.9961], [-0.9978, -0.9978, -0.9978, ..., -0.9970, -0.9970, -0.9968], [-0.9982, -0.9980, -0.9978, ..., -0.9976, -0.9975, -0.9974], ..., [-0.9978, -0.9979, -0.9980, ..., -0.9978, -0.9970, -0.9962], [-0.9982, -0.9983, -0.9983, ..., -0.9977, -0.9969, -0.9961], [-0.9978, -0.9982, -0.9983, ..., -0.9978, -0.9970, -0.9962]]]) [/INST]The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.</s>

<s>[INST] tensor([[[-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9966, -0.9966], [-0.9932, -0.9932, -0.9933, ..., -0.9975, -0.9974, -0.9972], [-0.9935, -0.9936, -0.9936, ..., -0.9980, -0.9979, -0.9977], ..., [-0.9980, -0.9980, -0.9981, ..., -0.9982, -0.9978, -0.9973], [-0.9983, -0.9983, -0.9983, ..., -0.9981, -0.9977, -0.9973], [-0.9988, -0.9989, -0.9989, ..., -0.9984, -0.9981, -0.9976]], [[-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9966, -0.9966], [-0.9932, -0.9932, -0.9933, ..., -0.9975, -0.9974, -0.9972], [-0.9935, -0.9936, -0.9936, ..., -0.9980, -0.9979, -0.9977], ..., [-0.9980, -0.9980, -0.9981, ..., -0.9982, -0.9978, -0.9973], [-0.9983, -0.9983, -0.9983, ..., -0.9981, -0.9977, -0.9973], [-0.9988, -0.9989, -0.9989, ..., -0.9984, -0.9981, -0.9976]], [[-0.9930, -0.9930, -0.9931, ..., -0.9967, -0.9966, -0.9966], [-0.9932, -0.9932, -0.9933, ..., -0.9975, -0.9974, -0.9972], [-0.9935, -0.9936, -0.9936, ..., -0.9980, -0.9979, -0.9977], ..., [-0.9980, -0.9980, -0.9981, ..., -0.9982, -0.9978, -0.9973], [-0.9983, -0.9983, -0.9983, ..., -0.9981, -0.9977, -0.9973], [-0.9988, -0.9989, -0.9989, ..., -0.9984, -0.9981, -0.9976]]]) [/INST]The lungs are hyperexpanded. Cardiomediastinal silhouette is within normal limits. No pleural effusion, focal airspace opacities or pneumothorax. No free subdiaphragmatic air.</s>

<s>[INST] tensor([[[-0.9982, -0.9981, -0.9981, ..., -0.9985, -0.9985, -0.9985], [-0.9980, -0.9979, -0.9978, ..., -0.9985, -0.9985, -0.9985], [-0.9977, -0.9977, -0.9976, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9951, -0.9950, -0.9950, ..., -0.9973, -0.9970, -0.9970], [-0.9951, -0.9951, -0.9950, ..., -0.9974, -0.9971, -0.9970], [-0.9951, -0.9951, -0.9951, ..., -0.9975, -0.9973, -0.9972]], [[-0.9982, -0.9981, -0.9981, ..., -0.9985, -0.9985, -0.9985], [-0.9980, -0.9979, -0.9978, ..., -0.9985, -0.9985, -0.9985], [-0.9977, -0.9977, -0.9976, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9951, -0.9950, -0.9950, ..., -0.9973, -0.9970, -0.9970], [-0.9951, -0.9951, -0.9950, ..., -0.9974, -0.9971, -0.9970], [-0.9951, -0.9951, -0.9951, ..., -0.9975, -0.9973, -0.9972]], [[-0.9982, -0.9981, -0.9981, ..., -0.9985, -0.9985, -0.9985], [-0.9980, -0.9979, -0.9978, ..., -0.9985, -0.9985, -0.9985], [-0.9977, -0.9977, -0.9976, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9951, -0.9950, -0.9950, ..., -0.9973, -0.9970, -0.9970], [-0.9951, -0.9951, -0.9950, ..., -0.9974, -0.9971, -0.9970], [-0.9951, -0.9951, -0.9951, ..., -0.9975, -0.9973, -0.9972]]]) [/INST]The trachea is midline. Cardiomediastinal silhouette is normal. The there are XXXX opacities in the left lower lobe of the lung, which are most XXXX dependent atelectasis. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.</s>

<s>[INST] tensor([[[-0.9937, -0.9937, -0.9940, ..., -0.9995, -0.9995, -0.9995], [-0.9933, -0.9937, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9944, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9924, -0.9924, -0.9924, ..., -0.9932, -0.9934, -0.9934], [-0.9924, -0.9924, -0.9925, ..., -0.9935, -0.9936, -0.9937], [-0.9925, -0.9925, -0.9925, ..., -0.9933, -0.9933, -0.9935]], [[-0.9937, -0.9937, -0.9940, ..., -0.9995, -0.9995, -0.9995], [-0.9933, -0.9937, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9944, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9924, -0.9924, -0.9924, ..., -0.9932, -0.9934, -0.9934], [-0.9924, -0.9924, -0.9925, ..., -0.9935, -0.9936, -0.9937], [-0.9925, -0.9925, -0.9925, ..., -0.9933, -0.9933, -0.9935]], [[-0.9937, -0.9937, -0.9940, ..., -0.9995, -0.9995, -0.9995], [-0.9933, -0.9937, -0.9939, ..., -0.9995, -0.9995, -0.9995], [-0.9938, -0.9940, -0.9944, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9924, -0.9924, -0.9924, ..., -0.9932, -0.9934, -0.9934], [-0.9924, -0.9924, -0.9925, ..., -0.9935, -0.9936, -0.9937], [-0.9925, -0.9925, -0.9925, ..., -0.9933, -0.9933, -0.9935]]]) [/INST]The trachea is midline. Cardiomediastinal silhouette is normal. The there are XXXX opacities in the left lower lobe of the lung, which are most XXXX dependent atelectasis. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities.</s>

<s>[INST] tensor([[[-0.9960, -0.9971, -0.9981, ..., -0.9937, -0.9939, -0.9941], [-0.9962, -0.9973, -0.9983, ..., -0.9942, -0.9944, -0.9947], [-0.9963, -0.9974, -0.9983, ..., -0.9945, -0.9947, -0.9951], ..., [-0.9922, -0.9922, -0.9923, ..., -0.9993, -0.9993, -0.9993], [-0.9923, -0.9924, -0.9925, ..., -0.9990, -0.9990, -0.9990], [-0.9923, -0.9924, -0.9925, ..., -0.9972, -0.9972, -0.9972]], [[-0.9960, -0.9971, -0.9981, ..., -0.9937, -0.9939, -0.9941], [-0.9962, -0.9973, -0.9983, ..., -0.9942, -0.9944, -0.9947], [-0.9963, -0.9974, -0.9983, ..., -0.9945, -0.9947, -0.9951], ..., [-0.9922, -0.9922, -0.9923, ..., -0.9993, -0.9993, -0.9993], [-0.9923, -0.9924, -0.9925, ..., -0.9990, -0.9990, -0.9990], [-0.9923, -0.9924, -0.9925, ..., -0.9972, -0.9972, -0.9972]], [[-0.9960, -0.9971, -0.9981, ..., -0.9937, -0.9939, -0.9941], [-0.9962, -0.9973, -0.9983, ..., -0.9942, -0.9944, -0.9947], [-0.9963, -0.9974, -0.9983, ..., -0.9945, -0.9947, -0.9951], ..., [-0.9922, -0.9922, -0.9923, ..., -0.9993, -0.9993, -0.9993], [-0.9923, -0.9924, -0.9925, ..., -0.9990, -0.9990, -0.9990], [-0.9923, -0.9924, -0.9925, ..., -0.9972, -0.9972, -0.9972]]]) [/INST]The cardiomediastinal silhouette is within normal limits for size and contour. There is lingular airspace disease.. Osseous structures are within normal limits for patient age..</s>

<s>[INST] tensor([[[-0.9937, -0.9938, -0.9941, ..., -0.9976, -0.9976, -0.9977], [-0.9938, -0.9939, -0.9942, ..., -0.9978, -0.9978, -0.9979], [-0.9936, -0.9937, -0.9939, ..., -0.9980, -0.9980, -0.9980], ..., [-0.9945, -0.9938, -0.9931, ..., -0.9935, -0.9937, -0.9941], [-0.9943, -0.9937, -0.9930, ..., -0.9933, -0.9934, -0.9938], [-0.9941, -0.9936, -0.9928, ..., -0.9931, -0.9932, -0.9936]], [[-0.9937, -0.9938, -0.9941, ..., -0.9976, -0.9976, -0.9977], [-0.9938, -0.9939, -0.9942, ..., -0.9978, -0.9978, -0.9979], [-0.9936, -0.9937, -0.9939, ..., -0.9980, -0.9980, -0.9980], ..., [-0.9945, -0.9938, -0.9931, ..., -0.9935, -0.9937, -0.9941], [-0.9943, -0.9937, -0.9930, ..., -0.9933, -0.9934, -0.9938], [-0.9941, -0.9936, -0.9928, ..., -0.9931, -0.9932, -0.9936]], [[-0.9937, -0.9938, -0.9941, ..., -0.9976, -0.9976, -0.9977], [-0.9938, -0.9939, -0.9942, ..., -0.9978, -0.9978, -0.9979], [-0.9936, -0.9937, -0.9939, ..., -0.9980, -0.9980, -0.9980], ..., [-0.9945, -0.9938, -0.9931, ..., -0.9935, -0.9937, -0.9941], [-0.9943, -0.9937, -0.9930, ..., -0.9933, -0.9934, -0.9938], [-0.9941, -0.9936, -0.9928, ..., -0.9931, -0.9932, -0.9936]]]) [/INST]The lungs are hyperexpanded. There are stable scattered XXXX bilateral opacities, most notable in the left upper lobe, XXXX scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.</s>

<s>[INST] tensor([[[-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9933, -0.9943, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9957, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9956, ..., -0.9988, -0.9988, -0.9989]], [[-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9933, -0.9943, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9957, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9956, ..., -0.9988, -0.9988, -0.9989]], [[-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9933, -0.9943, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9957, ..., -0.9988, -0.9988, -0.9989], [-0.9932, -0.9942, -0.9956, ..., -0.9988, -0.9988, -0.9989]]]) [/INST]The lungs are hyperexpanded. There are stable scattered XXXX bilateral opacities, most notable in the left upper lobe, XXXX scarring. No focal airspace consolidation to suggest pneumonia. No large pleural effusion. No pneumothorax. Heart size is normal. Thoracic aorta is mildly tortuous and demonstrates atherosclerotic vascular calcification. There are degenerative changes of the spine.</s>

<s>[INST] tensor([[[-0.9951, -0.9954, -0.9954, ..., -0.9934, -0.9933, -0.9936], [-0.9954, -0.9956, -0.9957, ..., -0.9936, -0.9937, -0.9940], [-0.9957, -0.9959, -0.9959, ..., -0.9942, -0.9944, -0.9950], ..., [-0.9922, -0.9927, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988]], [[-0.9951, -0.9954, -0.9954, ..., -0.9934, -0.9933, -0.9936], [-0.9954, -0.9956, -0.9957, ..., -0.9936, -0.9937, -0.9940], [-0.9957, -0.9959, -0.9959, ..., -0.9942, -0.9944, -0.9950], ..., [-0.9922, -0.9927, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988]], [[-0.9951, -0.9954, -0.9954, ..., -0.9934, -0.9933, -0.9936], [-0.9954, -0.9956, -0.9957, ..., -0.9936, -0.9937, -0.9940], [-0.9957, -0.9959, -0.9959, ..., -0.9942, -0.9944, -0.9950], ..., [-0.9922, -0.9927, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988], [-0.9922, -0.9926, -0.9934, ..., -0.9987, -0.9987, -0.9988]]]) [/INST]There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs are chronically hypoinflated. There is XXXX visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. Evaluation of the lungs is markedly limited. Overall, the appearance is similar to the prior study from XXXX. There is no evidence of pneumothorax or large pleural effusion.</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], ..., [-0.9956, -0.9956, -0.9954, ..., -0.9973, -0.9970, -0.9970], [-0.9955, -0.9955, -0.9954, ..., -0.9973, -0.9970, -0.9969], [-0.9954, -0.9954, -0.9952, ..., -0.9972, -0.9970, -0.9968]], [[-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], ..., [-0.9956, -0.9956, -0.9954, ..., -0.9973, -0.9970, -0.9970], [-0.9955, -0.9955, -0.9954, ..., -0.9973, -0.9970, -0.9969], [-0.9954, -0.9954, -0.9952, ..., -0.9972, -0.9970, -0.9968]], [[-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], ..., [-0.9956, -0.9956, -0.9954, ..., -0.9973, -0.9970, -0.9970], [-0.9955, -0.9955, -0.9954, ..., -0.9973, -0.9970, -0.9969], [-0.9954, -0.9954, -0.9952, ..., -0.9972, -0.9970, -0.9968]]]) [/INST]There is severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs are chronically hypoinflated. There is XXXX visualization of the hemidiaphragms, which may be due to basilar airspace disease/atelectasis. Evaluation of the lungs is markedly limited. Overall, the appearance is similar to the prior study from XXXX. There is no evidence of pneumothorax or large pleural effusion.</s>

<s>[INST] tensor([[[-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9982, -0.9980], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], [-0.9980, -0.9982, -0.9983, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9982, -0.9980], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], [-0.9980, -0.9982, -0.9983, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9982, -0.9980], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9985, -0.9984], [-0.9980, -0.9982, -0.9983, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9983, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]]]) [/INST]Heart size mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.</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], ..., [-0.9989, -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]], [[-0.9989, -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], ..., [-0.9989, -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]], [[-0.9989, -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], ..., [-0.9989, -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]]]) [/INST]Heart size mildly enlarged with enlarged right atrium. No focal alveolar consolidation, no definite pleural effusion seen. No pneumothorax.</s>

<s>[INST] tensor([[[-0.9971, -0.9972, -0.9972, ..., -0.9972, -0.9972, -0.9971], [-0.9971, -0.9971, -0.9971, ..., -0.9970, -0.9970, -0.9970], [-0.9977, -0.9977, -0.9977, ..., -0.9965, -0.9965, -0.9964], ..., [-0.9983, -0.9984, -0.9985, ..., -0.9942, -0.9931, -0.9926], [-0.9986, -0.9987, -0.9987, ..., -0.9946, -0.9934, -0.9928], [-0.9980, -0.9981, -0.9981, ..., -0.9944, -0.9932, -0.9928]], [[-0.9971, -0.9972, -0.9972, ..., -0.9972, -0.9972, -0.9971], [-0.9971, -0.9971, -0.9971, ..., -0.9970, -0.9970, -0.9970], [-0.9977, -0.9977, -0.9977, ..., -0.9965, -0.9965, -0.9964], ..., [-0.9983, -0.9984, -0.9985, ..., -0.9942, -0.9931, -0.9926], [-0.9986, -0.9987, -0.9987, ..., -0.9946, -0.9934, -0.9928], [-0.9980, -0.9981, -0.9981, ..., -0.9944, -0.9932, -0.9928]], [[-0.9971, -0.9972, -0.9972, ..., -0.9972, -0.9972, -0.9971], [-0.9971, -0.9971, -0.9971, ..., -0.9970, -0.9970, -0.9970], [-0.9977, -0.9977, -0.9977, ..., -0.9965, -0.9965, -0.9964], ..., [-0.9983, -0.9984, -0.9985, ..., -0.9942, -0.9931, -0.9926], [-0.9986, -0.9987, -0.9987, ..., -0.9946, -0.9934, -0.9928], [-0.9980, -0.9981, -0.9981, ..., -0.9944, -0.9932, -0.9928]]]) [/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 are without acute abnormality.</s>

<s>[INST] tensor([[[-0.9974, -0.9974, -0.9974, ..., -0.9973, -0.9973, -0.9973], [-0.9972, -0.9973, -0.9973, ..., -0.9972, -0.9972, -0.9971], [-0.9979, -0.9979, -0.9979, ..., -0.9967, -0.9966, -0.9966], ..., [-0.9965, -0.9964, -0.9962, ..., -0.9950, -0.9934, -0.9930], [-0.9967, -0.9966, -0.9964, ..., -0.9955, -0.9938, -0.9934], [-0.9961, -0.9960, -0.9958, ..., -0.9946, -0.9932, -0.9929]], [[-0.9974, -0.9974, -0.9974, ..., -0.9973, -0.9973, -0.9973], [-0.9972, -0.9973, -0.9973, ..., -0.9972, -0.9972, -0.9971], [-0.9979, -0.9979, -0.9979, ..., -0.9967, -0.9966, -0.9966], ..., [-0.9965, -0.9964, -0.9962, ..., -0.9950, -0.9934, -0.9930], [-0.9967, -0.9966, -0.9964, ..., -0.9955, -0.9938, -0.9934], [-0.9961, -0.9960, -0.9958, ..., -0.9946, -0.9932, -0.9929]], [[-0.9974, -0.9974, -0.9974, ..., -0.9973, -0.9973, -0.9973], [-0.9972, -0.9973, -0.9973, ..., -0.9972, -0.9972, -0.9971], [-0.9979, -0.9979, -0.9979, ..., -0.9967, -0.9966, -0.9966], ..., [-0.9965, -0.9964, -0.9962, ..., -0.9950, -0.9934, -0.9930], [-0.9967, -0.9966, -0.9964, ..., -0.9955, -0.9938, -0.9934], [-0.9961, -0.9960, -0.9958, ..., -0.9946, -0.9932, -0.9929]]]) [/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 are without acute abnormality.</s>

<s>[INST] tensor([[[-0.9982, -0.9982, -0.9982, ..., -0.9972, -0.9973, -0.9975], [-0.9981, -0.9981, -0.9981, ..., -0.9970, -0.9970, -0.9971], [-0.9980, -0.9981, -0.9981, ..., -0.9968, -0.9969, -0.9969], ..., [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9980, -0.9980, ..., -0.9989, -0.9988, -0.9987]], [[-0.9982, -0.9982, -0.9982, ..., -0.9972, -0.9973, -0.9975], [-0.9981, -0.9981, -0.9981, ..., -0.9970, -0.9970, -0.9971], [-0.9980, -0.9981, -0.9981, ..., -0.9968, -0.9969, -0.9969], ..., [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9980, -0.9980, ..., -0.9989, -0.9988, -0.9987]], [[-0.9982, -0.9982, -0.9982, ..., -0.9972, -0.9973, -0.9975], [-0.9981, -0.9981, -0.9981, ..., -0.9970, -0.9970, -0.9971], [-0.9980, -0.9981, -0.9981, ..., -0.9968, -0.9969, -0.9969], ..., [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9979, -0.9979, ..., -0.9989, -0.9988, -0.9987], [-0.9977, -0.9980, -0.9980, ..., -0.9989, -0.9988, -0.9987]]]) [/INST]Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.</s>

<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9999, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9996, -0.9999, -0.9999], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994]], [[-0.9993, -0.9993, -0.9993, ..., -0.9999, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9996, -0.9999, -0.9999], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994]], [[-0.9993, -0.9993, -0.9993, ..., -0.9999, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9998, -0.9999, -0.9999], [-0.9993, -0.9993, -0.9993, ..., -0.9996, -0.9999, -0.9999], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994], [-0.9997, -0.9997, -0.9997, ..., -0.9994, -0.9994, -0.9994]]]) [/INST]Heart size normal. Lungs are clear. XXXX are normal. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses.</s>

<s>[INST] tensor([[[-0.9986, -0.9988, -0.9988, ..., -0.9956, -0.9933, -0.9928], [-0.9986, -0.9988, -0.9989, ..., -0.9956, -0.9934, -0.9929], [-0.9986, -0.9988, -0.9989, ..., -0.9957, -0.9935, -0.9929], ..., [-0.9934, -0.9935, -0.9936, ..., -0.9962, -0.9954, -0.9947], [-0.9928, -0.9929, -0.9930, ..., -0.9942, -0.9936, -0.9933], [-0.9923, -0.9923, -0.9924, ..., -0.9925, -0.9923, -0.9926]], [[-0.9986, -0.9988, -0.9988, ..., -0.9956, -0.9933, -0.9928], [-0.9986, -0.9988, -0.9989, ..., -0.9956, -0.9934, -0.9929], [-0.9986, -0.9988, -0.9989, ..., -0.9957, -0.9935, -0.9929], ..., [-0.9934, -0.9935, -0.9936, ..., -0.9962, -0.9954, -0.9947], [-0.9928, -0.9929, -0.9930, ..., -0.9942, -0.9936, -0.9933], [-0.9923, -0.9923, -0.9924, ..., -0.9925, -0.9923, -0.9926]], [[-0.9986, -0.9988, -0.9988, ..., -0.9956, -0.9933, -0.9928], [-0.9986, -0.9988, -0.9989, ..., -0.9956, -0.9934, -0.9929], [-0.9986, -0.9988, -0.9989, ..., -0.9957, -0.9935, -0.9929], ..., [-0.9934, -0.9935, -0.9936, ..., -0.9962, -0.9954, -0.9947], [-0.9928, -0.9929, -0.9930, ..., -0.9942, -0.9936, -0.9933], [-0.9923, -0.9923, -0.9924, ..., -0.9925, -0.9923, -0.9926]]]) [/INST]Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Some scattered XXXX opacities are present whose appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No pleural effusion is noted. No pneumothorax is identified. The left hemidiaphragm is elevated. Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.</s>

<s>[INST] tensor([[[-0.9986, -0.9986, -0.9986, ..., -0.9996, -0.9981, -0.9972], [-0.9987, -0.9988, -0.9988, ..., -0.9996, -0.9982, -0.9973], [-0.9989, -0.9990, -0.9990, ..., -0.9997, -0.9982, -0.9973], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9996, -0.9992], [-0.9999, -0.9999, -0.9999, ..., -0.9987, -0.9982, -0.9977], [-0.9997, -0.9997, -0.9997, ..., -0.9966, -0.9963, -0.9961]], [[-0.9986, -0.9986, -0.9986, ..., -0.9996, -0.9981, -0.9972], [-0.9987, -0.9988, -0.9988, ..., -0.9996, -0.9982, -0.9973], [-0.9989, -0.9990, -0.9990, ..., -0.9997, -0.9982, -0.9973], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9996, -0.9992], [-0.9999, -0.9999, -0.9999, ..., -0.9987, -0.9982, -0.9977], [-0.9997, -0.9997, -0.9997, ..., -0.9966, -0.9963, -0.9961]], [[-0.9986, -0.9986, -0.9986, ..., -0.9996, -0.9981, -0.9972], [-0.9987, -0.9988, -0.9988, ..., -0.9996, -0.9982, -0.9973], [-0.9989, -0.9990, -0.9990, ..., -0.9997, -0.9982, -0.9973], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9996, -0.9992], [-0.9999, -0.9999, -0.9999, ..., -0.9987, -0.9982, -0.9977], [-0.9997, -0.9997, -0.9997, ..., -0.9966, -0.9963, -0.9961]]]) [/INST]Cardiomegaly is present. The pulmonary vascularity appears within normal limits. Some scattered XXXX opacities are present whose appearance XXXX scarring or atelectasis. No focal airspace disease is seen. No pleural effusion is noted. No pneumothorax is identified. The left hemidiaphragm is elevated. Scoliosis is present involving the lumbar spine. There has been previous surgical resection of the left 6th rib.</s>

<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9971, -0.9966, -0.9965, ..., -0.9944, -0.9947, -0.9953], [-0.9968, -0.9965, -0.9964, ..., -0.9943, -0.9946, -0.9952], [-0.9960, -0.9963, -0.9963, ..., -0.9947, -0.9950, -0.9954]], [[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9971, -0.9966, -0.9965, ..., -0.9944, -0.9947, -0.9953], [-0.9968, -0.9965, -0.9964, ..., -0.9943, -0.9946, -0.9952], [-0.9960, -0.9963, -0.9963, ..., -0.9947, -0.9950, -0.9954]], [[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9971, -0.9966, -0.9965, ..., -0.9944, -0.9947, -0.9953], [-0.9968, -0.9965, -0.9964, ..., -0.9943, -0.9946, -0.9952], [-0.9960, -0.9963, -0.9963, ..., -0.9947, -0.9950, -0.9954]]]) [/INST]Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. No overt edema or confluent lobar pneumonia. No pleural effusion. Thoracic spondylosis.</s>

<s>[INST] tensor([[[-0.9970, -0.9980, -0.9986, ..., -0.9997, -0.9998, -0.9998], [-0.9966, -0.9975, -0.9981, ..., -0.9997, -0.9998, -0.9998], [-0.9963, -0.9971, -0.9977, ..., -0.9997, -0.9998, -0.9998], ..., [-0.9923, -0.9923, -0.9922, ..., -0.9992, -0.9990, -0.9989], [-0.9922, -0.9922, -0.9922, ..., -0.9991, -0.9989, -0.9988], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9987, -0.9986]], [[-0.9970, -0.9980, -0.9986, ..., -0.9997, -0.9998, -0.9998], [-0.9966, -0.9975, -0.9981, ..., -0.9997, -0.9998, -0.9998], [-0.9963, -0.9971, -0.9977, ..., -0.9997, -0.9998, -0.9998], ..., [-0.9923, -0.9923, -0.9922, ..., -0.9992, -0.9990, -0.9989], [-0.9922, -0.9922, -0.9922, ..., -0.9991, -0.9989, -0.9988], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9987, -0.9986]], [[-0.9970, -0.9980, -0.9986, ..., -0.9997, -0.9998, -0.9998], [-0.9966, -0.9975, -0.9981, ..., -0.9997, -0.9998, -0.9998], [-0.9963, -0.9971, -0.9977, ..., -0.9997, -0.9998, -0.9998], ..., [-0.9923, -0.9923, -0.9922, ..., -0.9992, -0.9990, -0.9989], [-0.9922, -0.9922, -0.9922, ..., -0.9991, -0.9989, -0.9988], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9987, -0.9986]]]) [/INST]Moderate cardiomegaly. Prominent vascular pedicle/upper mediastinal contour. Mild central vascular congestion. No overt edema or confluent lobar pneumonia. No pleural effusion. Thoracic spondylosis.</s>

<s>[INST] tensor([[[-0.9984, -0.9986, -0.9986, ..., -0.9999, -0.9999, -1.0000], [-0.9993, -0.9989, -0.9989, ..., -0.9999, -0.9999, -1.0000], [-0.9996, -0.9996, -0.9991, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9969, -0.9970, -0.9974, ..., -0.9999, -0.9999, -1.0000], [-0.9966, -0.9968, -0.9973, ..., -0.9999, -0.9999, -1.0000], [-0.9962, -0.9966, -0.9969, ..., -0.9999, -0.9999, -1.0000]], [[-0.9984, -0.9986, -0.9986, ..., -0.9999, -0.9999, -1.0000], [-0.9993, -0.9989, -0.9989, ..., -0.9999, -0.9999, -1.0000], [-0.9996, -0.9996, -0.9991, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9969, -0.9970, -0.9974, ..., -0.9999, -0.9999, -1.0000], [-0.9966, -0.9968, -0.9973, ..., -0.9999, -0.9999, -1.0000], [-0.9962, -0.9966, -0.9969, ..., -0.9999, -0.9999, -1.0000]], [[-0.9984, -0.9986, -0.9986, ..., -0.9999, -0.9999, -1.0000], [-0.9993, -0.9989, -0.9989, ..., -0.9999, -0.9999, -1.0000], [-0.9996, -0.9996, -0.9991, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9969, -0.9970, -0.9974, ..., -0.9999, -0.9999, -1.0000], [-0.9966, -0.9968, -0.9973, ..., -0.9999, -0.9999, -1.0000], [-0.9962, -0.9966, -0.9969, ..., -0.9999, -0.9999, -1.0000]]]) [/INST]Heart size is upper limits of normal and stable. They're multiple radiopaque densities overlying the patient.. The lungs are normally inflated and clear. Degenerative changes of the spinal.</s>

<s>[INST] tensor([[[-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], ..., [-0.9987, -0.9989, -0.9981, ..., -0.9981, -0.9980, -0.9979], [-0.9987, -0.9989, -0.9980, ..., -0.9981, -0.9980, -0.9979], [-0.9989, -0.9989, -0.9980, ..., -0.9977, -0.9976, -0.9976]], [[-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], ..., [-0.9987, -0.9989, -0.9981, ..., -0.9981, -0.9980, -0.9979], [-0.9987, -0.9989, -0.9980, ..., -0.9981, -0.9980, -0.9979], [-0.9989, -0.9989, -0.9980, ..., -0.9977, -0.9976, -0.9976]], [[-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], [-0.9990, -0.9990, -0.9990, ..., -0.9978, -0.9980, -0.9981], ..., [-0.9987, -0.9989, -0.9981, ..., -0.9981, -0.9980, -0.9979], [-0.9987, -0.9989, -0.9980, ..., -0.9981, -0.9980, -0.9979], [-0.9989, -0.9989, -0.9980, ..., -0.9977, -0.9976, -0.9976]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>

<s>[INST] tensor([[[-0.9988, -0.9987, -0.9994, ..., -0.9990, -0.9975, -0.9962], [-0.9994, -0.9994, -0.9994, ..., -0.9991, -0.9978, -0.9964], [-0.9994, -0.9994, -0.9994, ..., -0.9992, -0.9978, -0.9964], ..., [-0.9938, -0.9938, -0.9937, ..., -0.9994, -0.9994, -0.9990], [-0.9939, -0.9939, -0.9938, ..., -0.9994, -0.9994, -0.9990], [-0.9945, -0.9944, -0.9943, ..., -0.9994, -0.9994, -0.9989]], [[-0.9988, -0.9987, -0.9994, ..., -0.9990, -0.9975, -0.9962], [-0.9994, -0.9994, -0.9994, ..., -0.9991, -0.9978, -0.9964], [-0.9994, -0.9994, -0.9994, ..., -0.9992, -0.9978, -0.9964], ..., [-0.9938, -0.9938, -0.9937, ..., -0.9994, -0.9994, -0.9990], [-0.9939, -0.9939, -0.9938, ..., -0.9994, -0.9994, -0.9990], [-0.9945, -0.9944, -0.9943, ..., -0.9994, -0.9994, -0.9989]], [[-0.9988, -0.9987, -0.9994, ..., -0.9990, -0.9975, -0.9962], [-0.9994, -0.9994, -0.9994, ..., -0.9991, -0.9978, -0.9964], [-0.9994, -0.9994, -0.9994, ..., -0.9992, -0.9978, -0.9964], ..., [-0.9938, -0.9938, -0.9937, ..., -0.9994, -0.9994, -0.9990], [-0.9939, -0.9939, -0.9938, ..., -0.9994, -0.9994, -0.9990], [-0.9945, -0.9944, -0.9943, ..., -0.9994, -0.9994, -0.9989]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>

<s>[INST] tensor([[[-0.9992, -0.9992, -0.9993, ..., -0.9996, -0.9996, -0.9996], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], ..., [-0.9949, -0.9947, -0.9945, ..., -0.9937, -0.9938, -0.9940], [-0.9949, -0.9946, -0.9944, ..., -0.9936, -0.9938, -0.9940], [-0.9948, -0.9946, -0.9943, ..., -0.9937, -0.9938, -0.9940]], [[-0.9992, -0.9992, -0.9993, ..., -0.9996, -0.9996, -0.9996], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], ..., [-0.9949, -0.9947, -0.9945, ..., -0.9937, -0.9938, -0.9940], [-0.9949, -0.9946, -0.9944, ..., -0.9936, -0.9938, -0.9940], [-0.9948, -0.9946, -0.9943, ..., -0.9937, -0.9938, -0.9940]], [[-0.9992, -0.9992, -0.9993, ..., -0.9996, -0.9996, -0.9996], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9994, -0.9994, -0.9994, ..., -0.9997, -0.9997, -0.9996], ..., [-0.9949, -0.9947, -0.9945, ..., -0.9937, -0.9938, -0.9940], [-0.9949, -0.9946, -0.9944, ..., -0.9936, -0.9938, -0.9940], [-0.9948, -0.9946, -0.9943, ..., -0.9937, -0.9938, -0.9940]]]) [/INST]Normal and stable cardiomediastinal contours. Interval removal of left-sided intravenous catheter. No pneumothorax. XXXX XXXX opacities obscuring the hemidiaphragms, slightly improved from prior exam.. Right-sided rib fractures again noted.</s>

<s>[INST] tensor([[[-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990]], [[-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990]], [[-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990], [-0.9922, -0.9922, -0.9922, ..., -0.9990, -0.9990, -0.9990]]]) [/INST]Normal and stable cardiomediastinal contours. Interval removal of left-sided intravenous catheter. No pneumothorax. XXXX XXXX opacities obscuring the hemidiaphragms, slightly improved from prior exam.. Right-sided rib fractures again noted.</s>

<s>[INST] tensor([[[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9943, -0.9940, -0.9938, ..., -0.9966, -0.9961, -0.9957], [-0.9944, -0.9941, -0.9937, ..., -0.9966, -0.9961, -0.9957], [-0.9943, -0.9939, -0.9935, ..., -0.9962, -0.9955, -0.9951]], [[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9943, -0.9940, -0.9938, ..., -0.9966, -0.9961, -0.9957], [-0.9944, -0.9941, -0.9937, ..., -0.9966, -0.9961, -0.9957], [-0.9943, -0.9939, -0.9935, ..., -0.9962, -0.9955, -0.9951]], [[-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9990, -0.9990, -0.9990], ..., [-0.9943, -0.9940, -0.9938, ..., -0.9966, -0.9961, -0.9957], [-0.9944, -0.9941, -0.9937, ..., -0.9966, -0.9961, -0.9957], [-0.9943, -0.9939, -0.9935, ..., -0.9962, -0.9955, -0.9951]]]) [/INST]Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.</s>

<s>[INST] tensor([[[-0.9959, -0.9958, -0.9958, ..., -0.9936, -0.9935, -0.9928], [-0.9965, -0.9964, -0.9963, ..., -0.9936, -0.9936, -0.9934], [-0.9971, -0.9971, -0.9970, ..., -0.9935, -0.9935, -0.9934], ..., [-0.9932, -0.9932, -0.9932, ..., -0.9993, -0.9991, -0.9987], [-0.9931, -0.9932, -0.9932, ..., -0.9985, -0.9983, -0.9978], [-0.9933, -0.9933, -0.9933, ..., -0.9954, -0.9951, -0.9943]], [[-0.9959, -0.9958, -0.9958, ..., -0.9936, -0.9935, -0.9928], [-0.9965, -0.9964, -0.9963, ..., -0.9936, -0.9936, -0.9934], [-0.9971, -0.9971, -0.9970, ..., -0.9935, -0.9935, -0.9934], ..., [-0.9932, -0.9932, -0.9932, ..., -0.9993, -0.9991, -0.9987], [-0.9931, -0.9932, -0.9932, ..., -0.9985, -0.9983, -0.9978], [-0.9933, -0.9933, -0.9933, ..., -0.9954, -0.9951, -0.9943]], [[-0.9959, -0.9958, -0.9958, ..., -0.9936, -0.9935, -0.9928], [-0.9965, -0.9964, -0.9963, ..., -0.9936, -0.9936, -0.9934], [-0.9971, -0.9971, -0.9970, ..., -0.9935, -0.9935, -0.9934], ..., [-0.9932, -0.9932, -0.9932, ..., -0.9993, -0.9991, -0.9987], [-0.9931, -0.9932, -0.9932, ..., -0.9985, -0.9983, -0.9978], [-0.9933, -0.9933, -0.9933, ..., -0.9954, -0.9951, -0.9943]]]) [/INST]Heart size normal. No pneumothorax, pleural effusion, or focal airspace disease. Nodular densities consistent with chronic granulomatous disease. Bony structures appear intact.</s>

<s>[INST] tensor([[[-0.9977, -0.9977, -0.9977, ..., -0.9975, -0.9974, -0.9974], [-0.9976, -0.9977, -0.9976, ..., -0.9974, -0.9973, -0.9973], [-0.9976, -0.9976, -0.9976, ..., -0.9973, -0.9972, -0.9971], ..., [-0.9974, -0.9974, -0.9974, ..., -0.9939, -0.9941, -0.9942], [-0.9974, -0.9974, -0.9974, ..., -0.9938, -0.9940, -0.9941], [-0.9974, -0.9974, -0.9974, ..., -0.9937, -0.9939, -0.9939]], [[-0.9977, -0.9977, -0.9977, ..., -0.9975, -0.9974, -0.9974], [-0.9976, -0.9977, -0.9976, ..., -0.9974, -0.9973, -0.9973], [-0.9976, -0.9976, -0.9976, ..., -0.9973, -0.9972, -0.9971], ..., [-0.9974, -0.9974, -0.9974, ..., -0.9939, -0.9941, -0.9942], [-0.9974, -0.9974, -0.9974, ..., -0.9938, -0.9940, -0.9941], [-0.9974, -0.9974, -0.9974, ..., -0.9937, -0.9939, -0.9939]], [[-0.9977, -0.9977, -0.9977, ..., -0.9975, -0.9974, -0.9974], [-0.9976, -0.9977, -0.9976, ..., -0.9974, -0.9973, -0.9973], [-0.9976, -0.9976, -0.9976, ..., -0.9973, -0.9972, -0.9971], ..., [-0.9974, -0.9974, -0.9974, ..., -0.9939, -0.9941, -0.9942], [-0.9974, -0.9974, -0.9974, ..., -0.9938, -0.9940, -0.9941], [-0.9974, -0.9974, -0.9974, ..., -0.9937, -0.9939, -0.9939]]]) [/INST]Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.</s>

<s>[INST] tensor([[[-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9931, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9929, -0.9932, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9927, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9926, -0.9926, ..., -0.9994, -0.9994, -0.9994]], [[-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9931, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9929, -0.9932, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9927, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9926, -0.9926, ..., -0.9994, -0.9994, -0.9994]], [[-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9931, ..., -0.9994, -0.9994, -0.9994], [-0.9930, -0.9930, -0.9930, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9927, -0.9929, -0.9932, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9927, -0.9928, ..., -0.9994, -0.9994, -0.9994], [-0.9926, -0.9926, -0.9926, ..., -0.9994, -0.9994, -0.9994]]]) [/INST]Lungs are clear bilaterally. Cardiac and mediastinal silhouettes are normal. Pulmonary vasculature is normal. No pneumothorax or pleural effusion. No acute bony abnormality.</s>

<s>[INST] tensor([[[-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9990], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], ..., [-0.9987, -0.9988, -0.9988, ..., -0.9981, -0.9981, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9981, -0.9980, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9980, -0.9980, -0.9979]], [[-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9990], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], ..., [-0.9987, -0.9988, -0.9988, ..., -0.9981, -0.9981, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9981, -0.9980, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9980, -0.9980, -0.9979]], [[-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9990], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9990, -0.9989], ..., [-0.9987, -0.9988, -0.9988, ..., -0.9981, -0.9981, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9981, -0.9980, -0.9980], [-0.9987, -0.9987, -0.9988, ..., -0.9980, -0.9980, -0.9979]]]) [/INST]Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.</s>

<s>[INST] tensor([[[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9997, ..., -0.9996, -0.9996, -0.9996], [-0.9997, -0.9997, -0.9997, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9999, -0.9999, -0.9999], [-0.9996, -0.9996, -0.9996, ..., -0.9992, -0.9992, -0.9992], [-0.9996, -0.9996, -0.9996, ..., -0.9981, -0.9981, -0.9981]], [[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9997, ..., -0.9996, -0.9996, -0.9996], [-0.9997, -0.9997, -0.9997, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9999, -0.9999, -0.9999], [-0.9996, -0.9996, -0.9996, ..., -0.9992, -0.9992, -0.9992], [-0.9996, -0.9996, -0.9996, ..., -0.9981, -0.9981, -0.9981]], [[-0.9996, -0.9996, -0.9996, ..., -0.9996, -0.9996, -0.9996], [-0.9996, -0.9996, -0.9997, ..., -0.9996, -0.9996, -0.9996], [-0.9997, -0.9997, -0.9997, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9996, -0.9996, -0.9996, ..., -0.9999, -0.9999, -0.9999], [-0.9996, -0.9996, -0.9996, ..., -0.9992, -0.9992, -0.9992], [-0.9996, -0.9996, -0.9996, ..., -0.9981, -0.9981, -0.9981]]]) [/INST]Normal heart size and mediastinal contours. No focal airspace consolidation. No pleural effusion or pneumothorax. Chronic appearing left lateral rib deformities.</s>

<s>[INST] tensor([[[-0.9958, -0.9967, -0.9975, ..., -0.9922, -0.9922, -0.9925], [-0.9975, -0.9984, -0.9991, ..., -0.9926, -0.9925, -0.9927], [-0.9982, -0.9990, -0.9997, ..., -0.9956, -0.9955, -0.9955], ..., [-0.9995, -0.9996, -0.9996, ..., -0.9997, -0.9994, -0.9991], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9994, -0.9991], [-0.9989, -0.9990, -0.9991, ..., -0.9997, -0.9994, -0.9990]], [[-0.9958, -0.9967, -0.9975, ..., -0.9922, -0.9922, -0.9925], [-0.9975, -0.9984, -0.9991, ..., -0.9926, -0.9925, -0.9927], [-0.9982, -0.9990, -0.9997, ..., -0.9956, -0.9955, -0.9955], ..., [-0.9995, -0.9996, -0.9996, ..., -0.9997, -0.9994, -0.9991], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9994, -0.9991], [-0.9989, -0.9990, -0.9991, ..., -0.9997, -0.9994, -0.9990]], [[-0.9958, -0.9967, -0.9975, ..., -0.9922, -0.9922, -0.9925], [-0.9975, -0.9984, -0.9991, ..., -0.9926, -0.9925, -0.9927], [-0.9982, -0.9990, -0.9997, ..., -0.9956, -0.9955, -0.9955], ..., [-0.9995, -0.9996, -0.9996, ..., -0.9997, -0.9994, -0.9991], [-0.9993, -0.9994, -0.9994, ..., -0.9997, -0.9994, -0.9991], [-0.9989, -0.9990, -0.9991, ..., -0.9997, -0.9994, -0.9990]]]) [/INST]Hyperlucent hyperinflated lungs with flattened diaphragms. Granulomas. Small sized heart. Minimal apical capping slightly greater at the left. XXXX unremarkable.</s>

<s>[INST] tensor([[[-0.9943, -0.9950, -0.9958, ..., -0.9999, -0.9999, -1.0000], [-0.9941, -0.9948, -0.9955, ..., -0.9999, -0.9999, -1.0000], [-0.9937, -0.9944, -0.9951, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9926, -0.9926, -0.9926, ..., -0.9978, -0.9973, -0.9967], [-0.9923, -0.9923, -0.9924, ..., -0.9975, -0.9970, -0.9964], [-0.9922, -0.9922, -0.9922, ..., -0.9970, -0.9965, -0.9960]], [[-0.9943, -0.9950, -0.9958, ..., -0.9999, -0.9999, -1.0000], [-0.9941, -0.9948, -0.9955, ..., -0.9999, -0.9999, -1.0000], [-0.9937, -0.9944, -0.9951, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9926, -0.9926, -0.9926, ..., -0.9978, -0.9973, -0.9967], [-0.9923, -0.9923, -0.9924, ..., -0.9975, -0.9970, -0.9964], [-0.9922, -0.9922, -0.9922, ..., -0.9970, -0.9965, -0.9960]], [[-0.9943, -0.9950, -0.9958, ..., -0.9999, -0.9999, -1.0000], [-0.9941, -0.9948, -0.9955, ..., -0.9999, -0.9999, -1.0000], [-0.9937, -0.9944, -0.9951, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9926, -0.9926, -0.9926, ..., -0.9978, -0.9973, -0.9967], [-0.9923, -0.9923, -0.9924, ..., -0.9975, -0.9970, -0.9964], [-0.9922, -0.9922, -0.9922, ..., -0.9970, -0.9965, -0.9960]]]) [/INST]Hyperlucent hyperinflated lungs with flattened diaphragms. Granulomas. Small sized heart. Minimal apical capping slightly greater at the left. XXXX unremarkable.</s>

<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9987], [-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], [-0.9998, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], ..., [-0.9993, -0.9993, -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]], [[-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9987], [-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], [-0.9998, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], ..., [-0.9993, -0.9993, -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]], [[-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9987], [-0.9999, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], [-0.9998, -0.9999, -0.9999, ..., -0.9995, -0.9989, -0.9988], ..., [-0.9993, -0.9993, -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]]]) [/INST]Heart size is normal. Aorta is tortuous and ectatic. Cardiomediastinal contours are normal. Lungs are clear without evidence of fibrosis. Pleural effusions or pneumothorax. Endplate sclerotic changes are present in the thoracic spine.</s>