Datasets:

Heba30018

/

chestX-ray

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<s>[INST] tensor([[[-0.9982, -0.9983, -0.9984, ..., -0.9990, -0.9987, -0.9983], [-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9988, -0.9984], [-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9988, -0.9984], ..., [-0.9985, -0.9984, -0.9982, ..., -0.9991, -0.9990, -0.9988], [-0.9985, -0.9985, -0.9983, ..., -0.9991, -0.9990, -0.9988], [-0.9980, -0.9980, -0.9980, ..., -0.9990, -0.9989, -0.9987]], [[-0.9982, -0.9983, -0.9984, ..., -0.9990, -0.9987, -0.9983], [-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9988, -0.9984], [-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9988, -0.9984], ..., [-0.9985, -0.9984, -0.9982, ..., -0.9991, -0.9990, -0.9988], [-0.9985, -0.9985, -0.9983, ..., -0.9991, -0.9990, -0.9988], [-0.9980, -0.9980, -0.9980, ..., -0.9990, -0.9989, -0.9987]], [[-0.9982, -0.9983, -0.9984, ..., -0.9990, -0.9987, -0.9983], [-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9988, -0.9984], [-0.9984, -0.9985, -0.9985, ..., -0.9991, -0.9988, -0.9984], ..., [-0.9985, -0.9984, -0.9982, ..., -0.9991, -0.9990, -0.9988], [-0.9985, -0.9985, -0.9983, ..., -0.9991, -0.9990, -0.9988], [-0.9980, -0.9980, -0.9980, ..., -0.9990, -0.9989, -0.9987]]]) [/INST]The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.</s>

<s>[INST] tensor([[[-0.9990, -0.9991, -0.9992, ..., -0.9995, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9995, -0.9995, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9990, -0.9984, -0.9983], [-0.9986, -0.9986, -0.9987, ..., -0.9989, -0.9983, -0.9983], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9985, -0.9982]], [[-0.9990, -0.9991, -0.9992, ..., -0.9995, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9995, -0.9995, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9990, -0.9984, -0.9983], [-0.9986, -0.9986, -0.9987, ..., -0.9989, -0.9983, -0.9983], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9985, -0.9982]], [[-0.9990, -0.9991, -0.9992, ..., -0.9995, -0.9994, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9995, -0.9995, -0.9994], [-0.9991, -0.9992, -0.9992, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9986, -0.9987, -0.9987, ..., -0.9990, -0.9984, -0.9983], [-0.9986, -0.9986, -0.9987, ..., -0.9989, -0.9983, -0.9983], [-0.9986, -0.9986, -0.9986, ..., -0.9990, -0.9985, -0.9982]]]) [/INST]The cardiac silhouette and mediastinum size are within normal limits. There is no pulmonary edema. There is no focal consolidation. There are no XXXX of a pleural effusion. There is no evidence of pneumothorax.</s>

<s>[INST] tensor([[[-0.9996, -0.9996, -0.9996, ..., -0.9999, -0.9998, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -0.9999, -0.9998], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -0.9999, -0.9998], ..., [-0.9955, -0.9959, -0.9962, ..., -0.9996, -0.9995, -0.9994], [-0.9954, -0.9958, -0.9961, ..., -0.9993, -0.9995, -0.9994], [-0.9953, -0.9957, -0.9960, ..., -0.9986, -0.9988, -0.9989]], [[-0.9996, -0.9996, -0.9996, ..., -0.9999, -0.9998, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -0.9999, -0.9998], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -0.9999, -0.9998], ..., [-0.9955, -0.9959, -0.9962, ..., -0.9996, -0.9995, -0.9994], [-0.9954, -0.9958, -0.9961, ..., -0.9993, -0.9995, -0.9994], [-0.9953, -0.9957, -0.9960, ..., -0.9986, -0.9988, -0.9989]], [[-0.9996, -0.9996, -0.9996, ..., -0.9999, -0.9998, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -1.0000, -0.9999, -0.9998], [-0.9999, -0.9999, -0.9999, ..., -1.0000, -0.9999, -0.9998], ..., [-0.9955, -0.9959, -0.9962, ..., -0.9996, -0.9995, -0.9994], [-0.9954, -0.9958, -0.9961, ..., -0.9993, -0.9995, -0.9994], [-0.9953, -0.9957, -0.9960, ..., -0.9986, -0.9988, -0.9989]]]) [/INST]Borderline cardiomegaly. Midline sternotomy XXXX. Enlarged pulmonary arteries. Clear lungs. Inferior XXXX XXXX XXXX.</s>

<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9992, -0.9988, -0.9977], [-1.0000, -1.0000, -1.0000, ..., -0.9991, -0.9986, -0.9975], [-1.0000, -1.0000, -1.0000, ..., -0.9990, -0.9986, -0.9974]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9992, -0.9988, -0.9977], [-1.0000, -1.0000, -1.0000, ..., -0.9991, -0.9986, -0.9975], [-1.0000, -1.0000, -1.0000, ..., -0.9990, -0.9986, -0.9974]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9992, -0.9988, -0.9977], [-1.0000, -1.0000, -1.0000, ..., -0.9991, -0.9986, -0.9975], [-1.0000, -1.0000, -1.0000, ..., -0.9990, -0.9986, -0.9974]]]) [/INST]Borderline cardiomegaly. Midline sternotomy XXXX. Enlarged pulmonary arteries. Clear lungs. Inferior XXXX XXXX XXXX.</s>

<s>[INST] tensor([[[-0.9971, -0.9972, -0.9972, ..., -0.9983, -0.9983, -0.9980], [-0.9970, -0.9970, -0.9970, ..., -0.9987, -0.9987, -0.9986], [-0.9966, -0.9966, -0.9966, ..., -0.9989, -0.9989, -0.9988], ..., [-0.9965, -0.9974, -0.9972, ..., -0.9986, -0.9985, -0.9984], [-0.9965, -0.9973, -0.9970, ..., -0.9985, -0.9985, -0.9984], [-0.9972, -0.9980, -0.9975, ..., -0.9987, -0.9986, -0.9985]], [[-0.9971, -0.9972, -0.9972, ..., -0.9983, -0.9983, -0.9980], [-0.9970, -0.9970, -0.9970, ..., -0.9987, -0.9987, -0.9986], [-0.9966, -0.9966, -0.9966, ..., -0.9989, -0.9989, -0.9988], ..., [-0.9965, -0.9974, -0.9972, ..., -0.9986, -0.9985, -0.9984], [-0.9965, -0.9973, -0.9970, ..., -0.9985, -0.9985, -0.9984], [-0.9972, -0.9980, -0.9975, ..., -0.9987, -0.9986, -0.9985]], [[-0.9971, -0.9972, -0.9972, ..., -0.9983, -0.9983, -0.9980], [-0.9970, -0.9970, -0.9970, ..., -0.9987, -0.9987, -0.9986], [-0.9966, -0.9966, -0.9966, ..., -0.9989, -0.9989, -0.9988], ..., [-0.9965, -0.9974, -0.9972, ..., -0.9986, -0.9985, -0.9984], [-0.9965, -0.9973, -0.9970, ..., -0.9985, -0.9985, -0.9984], [-0.9972, -0.9980, -0.9975, ..., -0.9987, -0.9986, -0.9985]]]) [/INST]There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.</s>

<s>[INST] tensor([[[-0.9939, -0.9940, -0.9941, ..., -0.9989, -0.9988, -0.9983], [-0.9942, -0.9943, -0.9943, ..., -0.9994, -0.9994, -0.9994], [-0.9950, -0.9950, -0.9952, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9923, -0.9927, -0.9932, ..., -0.9993, -0.9993, -0.9993], [-0.9924, -0.9928, -0.9933, ..., -0.9993, -0.9993, -0.9993], [-0.9928, -0.9933, -0.9938, ..., -0.9993, -0.9993, -0.9993]], [[-0.9939, -0.9940, -0.9941, ..., -0.9989, -0.9988, -0.9983], [-0.9942, -0.9943, -0.9943, ..., -0.9994, -0.9994, -0.9994], [-0.9950, -0.9950, -0.9952, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9923, -0.9927, -0.9932, ..., -0.9993, -0.9993, -0.9993], [-0.9924, -0.9928, -0.9933, ..., -0.9993, -0.9993, -0.9993], [-0.9928, -0.9933, -0.9938, ..., -0.9993, -0.9993, -0.9993]], [[-0.9939, -0.9940, -0.9941, ..., -0.9989, -0.9988, -0.9983], [-0.9942, -0.9943, -0.9943, ..., -0.9994, -0.9994, -0.9994], [-0.9950, -0.9950, -0.9952, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9923, -0.9927, -0.9932, ..., -0.9993, -0.9993, -0.9993], [-0.9924, -0.9928, -0.9933, ..., -0.9993, -0.9993, -0.9993], [-0.9928, -0.9933, -0.9938, ..., -0.9993, -0.9993, -0.9993]]]) [/INST]There are diffuse bilateral interstitial and alveolar opacities consistent with chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could represent a cavitary lesion in the left lung apex.There are streaky opacities in the right upper lobe, XXXX scarring. The cardiomediastinal silhouette is normal in size and contour. There is no pneumothorax or large pleural effusion.</s>

<s>[INST] tensor([[[-0.9997, -0.9997, -0.9998, ..., -0.9996, -0.9999, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9997, -0.9997, -0.9998, ..., -0.9995, -0.9999, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9995, -0.9999, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9995, -0.9999, -0.9998]], [[-0.9997, -0.9997, -0.9998, ..., -0.9996, -0.9999, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9997, -0.9997, -0.9998, ..., -0.9995, -0.9999, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9995, -0.9999, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9995, -0.9999, -0.9998]], [[-0.9997, -0.9997, -0.9998, ..., -0.9996, -0.9999, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9997, -0.9997, -0.9998, ..., -0.9995, -0.9999, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9995, -0.9999, -0.9998], [-0.9997, -0.9997, -0.9998, ..., -0.9995, -0.9999, -0.9998]]]) [/INST]The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.</s>

<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9992, -0.9993, -0.9993]], [[-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9992, -0.9993, -0.9993]], [[-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9992, -0.9993, -0.9993]]]) [/INST]The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. Cholecystectomy clips are present. Small T-spine osteophytes. There is biapical pleural thickening, unchanged from prior. Mildly hyperexpanded lungs.</s>

<s>[INST] tensor([[[-0.9971, -0.9972, -0.9972, ..., -0.9966, -0.9966, -0.9966], [-0.9978, -0.9979, -0.9980, ..., -0.9978, -0.9978, -0.9978], [-0.9984, -0.9984, -0.9985, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9928, -0.9929, -0.9929, ..., -0.9946, -0.9948, -0.9949], [-0.9933, -0.9933, -0.9933, ..., -0.9946, -0.9949, -0.9950], [-0.9935, -0.9935, -0.9934, ..., -0.9942, -0.9946, -0.9950]], [[-0.9971, -0.9972, -0.9972, ..., -0.9966, -0.9966, -0.9966], [-0.9978, -0.9979, -0.9980, ..., -0.9978, -0.9978, -0.9978], [-0.9984, -0.9984, -0.9985, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9928, -0.9929, -0.9929, ..., -0.9946, -0.9948, -0.9949], [-0.9933, -0.9933, -0.9933, ..., -0.9946, -0.9949, -0.9950], [-0.9935, -0.9935, -0.9934, ..., -0.9942, -0.9946, -0.9950]], [[-0.9971, -0.9972, -0.9972, ..., -0.9966, -0.9966, -0.9966], [-0.9978, -0.9979, -0.9980, ..., -0.9978, -0.9978, -0.9978], [-0.9984, -0.9984, -0.9985, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9928, -0.9929, -0.9929, ..., -0.9946, -0.9948, -0.9949], [-0.9933, -0.9933, -0.9933, ..., -0.9946, -0.9949, -0.9950], [-0.9935, -0.9935, -0.9934, ..., -0.9942, -0.9946, -0.9950]]]) [/INST]Heart size and mediastinal contour are within normal limits. There is no focal airspace consolidation or suspicious pulmonary opacity. No pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine.</s>

<s>[INST] tensor([[[-0.9947, -0.9947, -0.9946, ..., -0.9988, -0.9988, -0.9988], [-0.9955, -0.9954, -0.9953, ..., -0.9995, -0.9995, -0.9995], [-0.9961, -0.9961, -0.9959, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9942, -0.9942, -0.9942, ..., -0.9994, -0.9994, -0.9994], [-0.9945, -0.9945, -0.9945, ..., -0.9994, -0.9994, -0.9994], [-0.9954, -0.9953, -0.9953, ..., -0.9994, -0.9994, -0.9994]], [[-0.9947, -0.9947, -0.9946, ..., -0.9988, -0.9988, -0.9988], [-0.9955, -0.9954, -0.9953, ..., -0.9995, -0.9995, -0.9995], [-0.9961, -0.9961, -0.9959, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9942, -0.9942, -0.9942, ..., -0.9994, -0.9994, -0.9994], [-0.9945, -0.9945, -0.9945, ..., -0.9994, -0.9994, -0.9994], [-0.9954, -0.9953, -0.9953, ..., -0.9994, -0.9994, -0.9994]], [[-0.9947, -0.9947, -0.9946, ..., -0.9988, -0.9988, -0.9988], [-0.9955, -0.9954, -0.9953, ..., -0.9995, -0.9995, -0.9995], [-0.9961, -0.9961, -0.9959, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9942, -0.9942, -0.9942, ..., -0.9994, -0.9994, -0.9994], [-0.9945, -0.9945, -0.9945, ..., -0.9994, -0.9994, -0.9994], [-0.9954, -0.9953, -0.9953, ..., -0.9994, -0.9994, -0.9994]]]) [/INST]Heart size and mediastinal contour are within normal limits. There is no focal airspace consolidation or suspicious pulmonary opacity. No pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine.</s>

<s>[INST] tensor([[[-0.9995, -0.9998, -0.9999, ..., -0.9980, -0.9980, -0.9980], [-0.9997, -0.9999, -0.9999, ..., -0.9998, -0.9998, -0.9997], [-0.9997, -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, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999]], [[-0.9995, -0.9998, -0.9999, ..., -0.9980, -0.9980, -0.9980], [-0.9997, -0.9999, -0.9999, ..., -0.9998, -0.9998, -0.9997], [-0.9997, -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, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999]], [[-0.9995, -0.9998, -0.9999, ..., -0.9980, -0.9980, -0.9980], [-0.9997, -0.9999, -0.9999, ..., -0.9998, -0.9998, -0.9997], [-0.9997, -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, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999]]]) [/INST]The cardiac contours are normal. XXXX basilar atelectasis. The lungs are clear. Thoracic spondylosis. Lower cervical XXXX arthritis.</s>

<s>[INST] tensor([[[-0.9993, -0.9997, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9994, -0.9998, -0.9999, ..., -0.9999, -1.0000, -1.0000], [-0.9995, -0.9998, -0.9999, ..., -0.9999, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9997, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9997, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9997, -0.9998]], [[-0.9993, -0.9997, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9994, -0.9998, -0.9999, ..., -0.9999, -1.0000, -1.0000], [-0.9995, -0.9998, -0.9999, ..., -0.9999, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9997, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9997, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9997, -0.9998]], [[-0.9993, -0.9997, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9994, -0.9998, -0.9999, ..., -0.9999, -1.0000, -1.0000], [-0.9995, -0.9998, -0.9999, ..., -0.9999, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9997, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9997, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9996, -0.9997, -0.9998]]]) [/INST]The cardiac contours are normal. XXXX basilar atelectasis. The lungs are clear. Thoracic spondylosis. Lower cervical XXXX arthritis.</s>

<s>[INST] tensor([[[-0.9985, -0.9992, -0.9997, ..., -0.9986, -0.9986, -0.9987], [-0.9985, -0.9993, -0.9997, ..., -0.9997, -0.9997, -0.9998], [-0.9986, -0.9993, -0.9997, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9978, -0.9982, -0.9986, ..., -0.9952, -0.9949, -0.9946], [-0.9974, -0.9978, -0.9982, ..., -0.9949, -0.9945, -0.9944], [-0.9969, -0.9974, -0.9978, ..., -0.9946, -0.9942, -0.9942]], [[-0.9985, -0.9992, -0.9997, ..., -0.9986, -0.9986, -0.9987], [-0.9985, -0.9993, -0.9997, ..., -0.9997, -0.9997, -0.9998], [-0.9986, -0.9993, -0.9997, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9978, -0.9982, -0.9986, ..., -0.9952, -0.9949, -0.9946], [-0.9974, -0.9978, -0.9982, ..., -0.9949, -0.9945, -0.9944], [-0.9969, -0.9974, -0.9978, ..., -0.9946, -0.9942, -0.9942]], [[-0.9985, -0.9992, -0.9997, ..., -0.9986, -0.9986, -0.9987], [-0.9985, -0.9993, -0.9997, ..., -0.9997, -0.9997, -0.9998], [-0.9986, -0.9993, -0.9997, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9978, -0.9982, -0.9986, ..., -0.9952, -0.9949, -0.9946], [-0.9974, -0.9978, -0.9982, ..., -0.9949, -0.9945, -0.9944], [-0.9969, -0.9974, -0.9978, ..., -0.9946, -0.9942, -0.9942]]]) [/INST]The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an interim XXXX cervical spinal fusion partly evaluated.</s>

<s>[INST] tensor([[[-0.9958, -0.9969, -0.9979, ..., -1.0000, -1.0000, -1.0000], [-0.9953, -0.9962, -0.9972, ..., -1.0000, -1.0000, -1.0000], [-0.9951, -0.9960, -0.9968, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -1.0000]], [[-0.9958, -0.9969, -0.9979, ..., -1.0000, -1.0000, -1.0000], [-0.9953, -0.9962, -0.9972, ..., -1.0000, -1.0000, -1.0000], [-0.9951, -0.9960, -0.9968, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -1.0000]], [[-0.9958, -0.9969, -0.9979, ..., -1.0000, -1.0000, -1.0000], [-0.9953, -0.9962, -0.9972, ..., -1.0000, -1.0000, -1.0000], [-0.9951, -0.9960, -0.9968, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9999, -0.9999, -1.0000]]]) [/INST]The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There is an interim XXXX cervical spinal fusion partly evaluated.</s>

<s>[INST] tensor([[[-0.9983, -0.9983, -0.9983, ..., -0.9984, -0.9982, -0.9980], [-0.9984, -0.9984, -0.9984, ..., -0.9984, -0.9983, -0.9982], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9984, -0.9983], ..., [-0.9985, -0.9985, -0.9986, ..., -0.9986, -0.9985, -0.9986], [-0.9985, -0.9985, -0.9986, ..., -0.9986, -0.9985, -0.9986], [-0.9984, -0.9985, -0.9986, ..., -0.9985, -0.9985, -0.9984]], [[-0.9983, -0.9983, -0.9983, ..., -0.9984, -0.9982, -0.9980], [-0.9984, -0.9984, -0.9984, ..., -0.9984, -0.9983, -0.9982], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9984, -0.9983], ..., [-0.9985, -0.9985, -0.9986, ..., -0.9986, -0.9985, -0.9986], [-0.9985, -0.9985, -0.9986, ..., -0.9986, -0.9985, -0.9986], [-0.9984, -0.9985, -0.9986, ..., -0.9985, -0.9985, -0.9984]], [[-0.9983, -0.9983, -0.9983, ..., -0.9984, -0.9982, -0.9980], [-0.9984, -0.9984, -0.9984, ..., -0.9984, -0.9983, -0.9982], [-0.9985, -0.9985, -0.9985, ..., -0.9985, -0.9984, -0.9983], ..., [-0.9985, -0.9985, -0.9986, ..., -0.9986, -0.9985, -0.9986], [-0.9985, -0.9985, -0.9986, ..., -0.9986, -0.9985, -0.9986], [-0.9984, -0.9985, -0.9986, ..., -0.9985, -0.9985, -0.9984]]]) [/INST]The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic XXXX. Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9944, -0.9946, -0.9947, ..., -0.9989, -0.9989, -0.9990], [-0.9947, -0.9950, -0.9950, ..., -0.9989, -0.9989, -0.9990], [-0.9950, -0.9952, -0.9953, ..., -0.9989, -0.9989, -0.9990], ..., [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990]], [[-0.9944, -0.9946, -0.9947, ..., -0.9989, -0.9989, -0.9990], [-0.9947, -0.9950, -0.9950, ..., -0.9989, -0.9989, -0.9990], [-0.9950, -0.9952, -0.9953, ..., -0.9989, -0.9989, -0.9990], ..., [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990]], [[-0.9944, -0.9946, -0.9947, ..., -0.9989, -0.9989, -0.9990], [-0.9947, -0.9950, -0.9950, ..., -0.9989, -0.9989, -0.9990], [-0.9950, -0.9952, -0.9953, ..., -0.9989, -0.9989, -0.9990], ..., [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990]]]) [/INST]The XXXX examination consists of frontal and lateral radiographs of the chest. The cardiac silhouette is not enlarged. There has been apparent interval increase in low density convexity at the left cardiophrenic XXXX. Calcified granuloma is again seen in the right upper lobe. There is no consolidation, pleural effusion or pneumothorax.</s>

<s>[INST] tensor([[[-0.9985, -0.9986, -0.9987, ..., -0.9992, -0.9993, -0.9993], [-0.9986, -0.9987, -0.9988, ..., -0.9984, -0.9987, -0.9990], [-0.9986, -0.9988, -0.9988, ..., -0.9977, -0.9977, -0.9979], ..., [-0.9957, -0.9961, -0.9966, ..., -0.9983, -0.9982, -0.9981], [-0.9958, -0.9962, -0.9965, ..., -0.9982, -0.9981, -0.9979], [-0.9952, -0.9957, -0.9963, ..., -0.9979, -0.9977, -0.9977]], [[-0.9985, -0.9986, -0.9987, ..., -0.9992, -0.9993, -0.9993], [-0.9986, -0.9987, -0.9988, ..., -0.9984, -0.9987, -0.9990], [-0.9986, -0.9988, -0.9988, ..., -0.9977, -0.9977, -0.9979], ..., [-0.9957, -0.9961, -0.9966, ..., -0.9983, -0.9982, -0.9981], [-0.9958, -0.9962, -0.9965, ..., -0.9982, -0.9981, -0.9979], [-0.9952, -0.9957, -0.9963, ..., -0.9979, -0.9977, -0.9977]], [[-0.9985, -0.9986, -0.9987, ..., -0.9992, -0.9993, -0.9993], [-0.9986, -0.9987, -0.9988, ..., -0.9984, -0.9987, -0.9990], [-0.9986, -0.9988, -0.9988, ..., -0.9977, -0.9977, -0.9979], ..., [-0.9957, -0.9961, -0.9966, ..., -0.9983, -0.9982, -0.9981], [-0.9958, -0.9962, -0.9965, ..., -0.9982, -0.9981, -0.9979], [-0.9952, -0.9957, -0.9963, ..., -0.9979, -0.9977, -0.9977]]]) [/INST]The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Stable calcified granuloma within the right upper lung. No acute bone abnormality..</s>

<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9924, -0.9924, -0.9923], [-0.9993, -0.9993, -0.9993, ..., -0.9924, -0.9925, -0.9925], [-0.9993, -0.9993, -0.9993, ..., -0.9924, -0.9924, -0.9925], ..., [-0.9949, -0.9946, -0.9945, ..., -0.9995, -0.9995, -0.9995], [-0.9951, -0.9950, -0.9949, ..., -0.9984, -0.9984, -0.9983], [-0.9959, -0.9958, -0.9957, ..., -0.9967, -0.9966, -0.9966]], [[-0.9993, -0.9993, -0.9993, ..., -0.9924, -0.9924, -0.9923], [-0.9993, -0.9993, -0.9993, ..., -0.9924, -0.9925, -0.9925], [-0.9993, -0.9993, -0.9993, ..., -0.9924, -0.9924, -0.9925], ..., [-0.9949, -0.9946, -0.9945, ..., -0.9995, -0.9995, -0.9995], [-0.9951, -0.9950, -0.9949, ..., -0.9984, -0.9984, -0.9983], [-0.9959, -0.9958, -0.9957, ..., -0.9967, -0.9966, -0.9966]], [[-0.9993, -0.9993, -0.9993, ..., -0.9924, -0.9924, -0.9923], [-0.9993, -0.9993, -0.9993, ..., -0.9924, -0.9925, -0.9925], [-0.9993, -0.9993, -0.9993, ..., -0.9924, -0.9924, -0.9925], ..., [-0.9949, -0.9946, -0.9945, ..., -0.9995, -0.9995, -0.9995], [-0.9951, -0.9950, -0.9949, ..., -0.9984, -0.9984, -0.9983], [-0.9959, -0.9958, -0.9957, ..., -0.9967, -0.9966, -0.9966]]]) [/INST]The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are normally inflated without evidence of focal airspace disease, pleural effusion, or pneumothorax. Stable calcified granuloma within the right upper lung. No acute bone abnormality..</s>

<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -0.9988, -0.9977, -0.9963], [-0.9998, -0.9999, -0.9999, ..., -0.9988, -0.9977, -0.9963], [-0.9999, -0.9999, -0.9999, ..., -0.9988, -0.9977, -0.9964], ..., [-0.9997, -0.9997, -0.9998, ..., -0.9980, -0.9971, -0.9959], [-0.9993, -0.9994, -0.9994, ..., -0.9957, -0.9947, -0.9937], [-0.9984, -0.9985, -0.9986, ..., -0.9930, -0.9926, -0.9926]], [[-0.9998, -0.9998, -0.9998, ..., -0.9988, -0.9977, -0.9963], [-0.9998, -0.9999, -0.9999, ..., -0.9988, -0.9977, -0.9963], [-0.9999, -0.9999, -0.9999, ..., -0.9988, -0.9977, -0.9964], ..., [-0.9997, -0.9997, -0.9998, ..., -0.9980, -0.9971, -0.9959], [-0.9993, -0.9994, -0.9994, ..., -0.9957, -0.9947, -0.9937], [-0.9984, -0.9985, -0.9986, ..., -0.9930, -0.9926, -0.9926]], [[-0.9998, -0.9998, -0.9998, ..., -0.9988, -0.9977, -0.9963], [-0.9998, -0.9999, -0.9999, ..., -0.9988, -0.9977, -0.9963], [-0.9999, -0.9999, -0.9999, ..., -0.9988, -0.9977, -0.9964], ..., [-0.9997, -0.9997, -0.9998, ..., -0.9980, -0.9971, -0.9959], [-0.9993, -0.9994, -0.9994, ..., -0.9957, -0.9947, -0.9937], [-0.9984, -0.9985, -0.9986, ..., -0.9930, -0.9926, -0.9926]]]) [/INST]Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.</s>

<s>[INST] tensor([[[-0.9986, -0.9992, -0.9998, ..., -0.9952, -0.9951, -0.9952], [-0.9986, -0.9992, -0.9998, ..., -0.9950, -0.9950, -0.9950], [-0.9986, -0.9993, -0.9998, ..., -0.9951, -0.9951, -0.9950], ..., [-0.9989, -0.9992, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9965, -0.9966, -0.9970, ..., -0.9999, -0.9999, -0.9999], [-0.9956, -0.9955, -0.9957, ..., -0.9989, -0.9989, -0.9990]], [[-0.9986, -0.9992, -0.9998, ..., -0.9952, -0.9951, -0.9952], [-0.9986, -0.9992, -0.9998, ..., -0.9950, -0.9950, -0.9950], [-0.9986, -0.9993, -0.9998, ..., -0.9951, -0.9951, -0.9950], ..., [-0.9989, -0.9992, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9965, -0.9966, -0.9970, ..., -0.9999, -0.9999, -0.9999], [-0.9956, -0.9955, -0.9957, ..., -0.9989, -0.9989, -0.9990]], [[-0.9986, -0.9992, -0.9998, ..., -0.9952, -0.9951, -0.9952], [-0.9986, -0.9992, -0.9998, ..., -0.9950, -0.9950, -0.9950], [-0.9986, -0.9993, -0.9998, ..., -0.9951, -0.9951, -0.9950], ..., [-0.9989, -0.9992, -0.9994, ..., -1.0000, -1.0000, -1.0000], [-0.9965, -0.9966, -0.9970, ..., -0.9999, -0.9999, -0.9999], [-0.9956, -0.9955, -0.9957, ..., -0.9989, -0.9989, -0.9990]]]) [/INST]Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. No acute osseous findings.</s>

<s>[INST] tensor([[[-0.9997, -0.9998, -0.9998, ..., -0.9994, -0.9995, -0.9995], [-0.9998, -0.9998, -0.9998, ..., -0.9993, -0.9994, -0.9993], [-0.9998, -0.9998, -0.9998, ..., -0.9991, -0.9991, -0.9991], ..., [-0.9988, -0.9989, -0.9990, ..., -0.9995, -0.9995, -0.9995], [-0.9985, -0.9985, -0.9986, ..., -0.9995, -0.9995, -0.9995], [-0.9979, -0.9978, -0.9979, ..., -0.9995, -0.9995, -0.9995]], [[-0.9997, -0.9998, -0.9998, ..., -0.9994, -0.9995, -0.9995], [-0.9998, -0.9998, -0.9998, ..., -0.9993, -0.9994, -0.9993], [-0.9998, -0.9998, -0.9998, ..., -0.9991, -0.9991, -0.9991], ..., [-0.9988, -0.9989, -0.9990, ..., -0.9995, -0.9995, -0.9995], [-0.9985, -0.9985, -0.9986, ..., -0.9995, -0.9995, -0.9995], [-0.9979, -0.9978, -0.9979, ..., -0.9995, -0.9995, -0.9995]], [[-0.9997, -0.9998, -0.9998, ..., -0.9994, -0.9995, -0.9995], [-0.9998, -0.9998, -0.9998, ..., -0.9993, -0.9994, -0.9993], [-0.9998, -0.9998, -0.9998, ..., -0.9991, -0.9991, -0.9991], ..., [-0.9988, -0.9989, -0.9990, ..., -0.9995, -0.9995, -0.9995], [-0.9985, -0.9985, -0.9986, ..., -0.9995, -0.9995, -0.9995], [-0.9979, -0.9978, -0.9979, ..., -0.9995, -0.9995, -0.9995]]]) [/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([[[-0.9995, -0.9994, -0.9993, ..., -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], ..., [-0.9938, -0.9938, -0.9939, ..., -0.9994, -0.9994, -0.9994], [-0.9936, -0.9936, -0.9937, ..., -0.9994, -0.9994, -0.9994], [-0.9935, -0.9935, -0.9935, ..., -0.9993, -0.9993, -0.9992]], [[-0.9995, -0.9994, -0.9993, ..., -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], ..., [-0.9938, -0.9938, -0.9939, ..., -0.9994, -0.9994, -0.9994], [-0.9936, -0.9936, -0.9937, ..., -0.9994, -0.9994, -0.9994], [-0.9935, -0.9935, -0.9935, ..., -0.9993, -0.9993, -0.9992]], [[-0.9995, -0.9994, -0.9993, ..., -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], ..., [-0.9938, -0.9938, -0.9939, ..., -0.9994, -0.9994, -0.9994], [-0.9936, -0.9936, -0.9937, ..., -0.9994, -0.9994, -0.9994], [-0.9935, -0.9935, -0.9935, ..., -0.9993, -0.9993, -0.9992]]]) [/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([[[-0.9985, -0.9985, -0.9986, ..., -0.9984, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9984, -0.9983], ..., [-0.9989, -0.9988, -0.9989, ..., -0.9971, -0.9967, -0.9964], [-0.9988, -0.9988, -0.9989, ..., -0.9973, -0.9968, -0.9965], [-0.9988, -0.9988, -0.9989, ..., -0.9974, -0.9970, -0.9966]], [[-0.9985, -0.9985, -0.9986, ..., -0.9984, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9984, -0.9983], ..., [-0.9989, -0.9988, -0.9989, ..., -0.9971, -0.9967, -0.9964], [-0.9988, -0.9988, -0.9989, ..., -0.9973, -0.9968, -0.9965], [-0.9988, -0.9988, -0.9989, ..., -0.9974, -0.9970, -0.9966]], [[-0.9985, -0.9985, -0.9986, ..., -0.9984, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9984, -0.9983], [-0.9985, -0.9985, -0.9985, ..., -0.9984, -0.9984, -0.9983], ..., [-0.9989, -0.9988, -0.9989, ..., -0.9971, -0.9967, -0.9964], [-0.9988, -0.9988, -0.9989, ..., -0.9973, -0.9968, -0.9965], [-0.9988, -0.9988, -0.9989, ..., -0.9974, -0.9970, -0.9966]]]) [/INST]The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.</s>

<s>[INST] tensor([[[-0.9990, -0.9990, -0.9990, ..., -0.9991, -0.9991, -0.9992], [-0.9991, -0.9991, -0.9990, ..., -0.9992, -0.9992, -0.9992], [-0.9990, -0.9991, -0.9991, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9935, -0.9936, -0.9936, ..., -0.9992, -0.9992, -0.9992], [-0.9937, -0.9937, -0.9937, ..., -0.9987, -0.9987, -0.9986], [-0.9940, -0.9939, -0.9939, ..., -0.9959, -0.9959, -0.9959]], [[-0.9990, -0.9990, -0.9990, ..., -0.9991, -0.9991, -0.9992], [-0.9991, -0.9991, -0.9990, ..., -0.9992, -0.9992, -0.9992], [-0.9990, -0.9991, -0.9991, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9935, -0.9936, -0.9936, ..., -0.9992, -0.9992, -0.9992], [-0.9937, -0.9937, -0.9937, ..., -0.9987, -0.9987, -0.9986], [-0.9940, -0.9939, -0.9939, ..., -0.9959, -0.9959, -0.9959]], [[-0.9990, -0.9990, -0.9990, ..., -0.9991, -0.9991, -0.9992], [-0.9991, -0.9991, -0.9990, ..., -0.9992, -0.9992, -0.9992], [-0.9990, -0.9991, -0.9991, ..., -0.9992, -0.9992, -0.9992], ..., [-0.9935, -0.9936, -0.9936, ..., -0.9992, -0.9992, -0.9992], [-0.9937, -0.9937, -0.9937, ..., -0.9987, -0.9987, -0.9986], [-0.9940, -0.9939, -0.9939, ..., -0.9959, -0.9959, -0.9959]]]) [/INST]The cardiac silhouette is borderline enlarged. Otherwise, there is no focal opacity. Mediastinal contours are within normal limits. There is no large pleural effusion. No pneumothorax.</s>

<s>[INST] tensor([[[-0.9973, -0.9974, -0.9974, ..., -0.9974, -0.9970, -0.9966], [-0.9977, -0.9977, -0.9977, ..., -0.9977, -0.9973, -0.9969], [-0.9980, -0.9980, -0.9980, ..., -0.9979, -0.9975, -0.9971], ..., [-0.9983, -0.9984, -0.9985, ..., -0.9984, -0.9983, -0.9982], [-0.9983, -0.9984, -0.9985, ..., -0.9984, -0.9983, -0.9982], [-0.9983, -0.9984, -0.9985, ..., -0.9984, -0.9983, -0.9982]], [[-0.9973, -0.9974, -0.9974, ..., -0.9974, -0.9970, -0.9966], [-0.9977, -0.9977, -0.9977, ..., -0.9977, -0.9973, -0.9969], [-0.9980, -0.9980, -0.9980, ..., -0.9979, -0.9975, -0.9971], ..., [-0.9983, -0.9984, -0.9985, ..., -0.9984, -0.9983, -0.9982], [-0.9983, -0.9984, -0.9985, ..., -0.9984, -0.9983, -0.9982], [-0.9983, -0.9984, -0.9985, ..., -0.9984, -0.9983, -0.9982]], [[-0.9973, -0.9974, -0.9974, ..., -0.9974, -0.9970, -0.9966], [-0.9977, -0.9977, -0.9977, ..., -0.9977, -0.9973, -0.9969], [-0.9980, -0.9980, -0.9980, ..., -0.9979, -0.9975, -0.9971], ..., [-0.9983, -0.9984, -0.9985, ..., -0.9984, -0.9983, -0.9982], [-0.9983, -0.9984, -0.9985, ..., -0.9984, -0.9983, -0.9982], [-0.9983, -0.9984, -0.9985, ..., -0.9984, -0.9983, -0.9982]]]) [/INST]Heart size within normal limits, stable mediastinal and hilar contours. Mild hyperinflation appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. Scattered chronic appearing irregular interstitial markings, no typical findings of pulmonary edema.</s>

<s>[INST] tensor([[[-0.9985, -0.9985, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9988, -0.9989], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], ..., [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990]], [[-0.9985, -0.9985, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9988, -0.9989], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], ..., [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990]], [[-0.9985, -0.9985, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9988, -0.9989], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], ..., [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990], [-0.9989, -0.9989, -0.9989, ..., -0.9989, -0.9989, -0.9990]]]) [/INST]Heart size within normal limits, stable mediastinal and hilar contours. Mild hyperinflation appears similar to prior. No focal alveolar consolidation, no definite pleural effusion seen. Scattered chronic appearing irregular interstitial markings, no typical findings of pulmonary edema.</s>

<s>[INST] tensor([[[-0.9975, -0.9980, -0.9984, ..., -0.9996, -0.9997, -0.9997], [-0.9975, -0.9981, -0.9986, ..., -0.9990, -0.9992, -0.9994], [-0.9976, -0.9982, -0.9986, ..., -0.9986, -0.9987, -0.9989], ..., [-0.9976, -0.9982, -0.9986, ..., -0.9978, -0.9981, -0.9985], [-0.9978, -0.9983, -0.9987, ..., -0.9971, -0.9974, -0.9977], [-0.9987, -0.9991, -0.9994, ..., -0.9950, -0.9953, -0.9954]], [[-0.9975, -0.9980, -0.9984, ..., -0.9996, -0.9997, -0.9997], [-0.9975, -0.9981, -0.9986, ..., -0.9990, -0.9992, -0.9994], [-0.9976, -0.9982, -0.9986, ..., -0.9986, -0.9987, -0.9989], ..., [-0.9976, -0.9982, -0.9986, ..., -0.9978, -0.9981, -0.9985], [-0.9978, -0.9983, -0.9987, ..., -0.9971, -0.9974, -0.9977], [-0.9987, -0.9991, -0.9994, ..., -0.9950, -0.9953, -0.9954]], [[-0.9975, -0.9980, -0.9984, ..., -0.9996, -0.9997, -0.9997], [-0.9975, -0.9981, -0.9986, ..., -0.9990, -0.9992, -0.9994], [-0.9976, -0.9982, -0.9986, ..., -0.9986, -0.9987, -0.9989], ..., [-0.9976, -0.9982, -0.9986, ..., -0.9978, -0.9981, -0.9985], [-0.9978, -0.9983, -0.9987, ..., -0.9971, -0.9974, -0.9977], [-0.9987, -0.9991, -0.9994, ..., -0.9950, -0.9953, -0.9954]]]) [/INST]Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Evidence of prior granulomatous disease. No acute osseous findings.</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], ..., [-0.9993, -0.9993, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9993, -0.9993, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9993, -0.9993, -0.9994, ..., -0.9997, -0.9997, -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], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9993, -0.9993, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9993, -0.9993, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9993, -0.9993, -0.9994, ..., -0.9997, -0.9997, -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], [-0.9994, -0.9994, -0.9994, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9993, -0.9993, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9993, -0.9993, -0.9994, ..., -0.9997, -0.9997, -0.9996], [-0.9993, -0.9993, -0.9994, ..., -0.9997, -0.9997, -0.9996]]]) [/INST]Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lungs are clear. No pneumothorax or pleural effusion. Evidence of prior granulomatous disease. No acute osseous findings.</s>

<s>[INST] tensor([[[-0.9988, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9988, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9990, -0.9990, ..., -0.9991, -0.9990, -0.9990], ..., [-0.9933, -0.9933, -0.9932, ..., -0.9936, -0.9937, -0.9938], [-0.9932, -0.9932, -0.9931, ..., -0.9938, -0.9938, -0.9940], [-0.9928, -0.9931, -0.9930, ..., -0.9942, -0.9943, -0.9946]], [[-0.9988, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9988, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9990, -0.9990, ..., -0.9991, -0.9990, -0.9990], ..., [-0.9933, -0.9933, -0.9932, ..., -0.9936, -0.9937, -0.9938], [-0.9932, -0.9932, -0.9931, ..., -0.9938, -0.9938, -0.9940], [-0.9928, -0.9931, -0.9930, ..., -0.9942, -0.9943, -0.9946]], [[-0.9988, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9988, -0.9989, -0.9990, ..., -0.9990, -0.9990, -0.9990], [-0.9989, -0.9990, -0.9990, ..., -0.9991, -0.9990, -0.9990], ..., [-0.9933, -0.9933, -0.9932, ..., -0.9936, -0.9937, -0.9938], [-0.9932, -0.9932, -0.9931, ..., -0.9938, -0.9938, -0.9940], [-0.9928, -0.9931, -0.9930, ..., -0.9942, -0.9943, -0.9946]]]) [/INST]No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.</s>

<s>[INST] tensor([[[-0.9940, -0.9940, -0.9941, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9943, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9986, -0.9985, -0.9983], [-0.9922, -0.9922, -0.9922, ..., -0.9980, -0.9978, -0.9976], [-0.9922, -0.9922, -0.9922, ..., -0.9950, -0.9948, -0.9943]], [[-0.9940, -0.9940, -0.9941, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9943, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9986, -0.9985, -0.9983], [-0.9922, -0.9922, -0.9922, ..., -0.9980, -0.9978, -0.9976], [-0.9922, -0.9922, -0.9922, ..., -0.9950, -0.9948, -0.9943]], [[-0.9940, -0.9940, -0.9941, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9942, ..., -0.9995, -0.9995, -0.9995], [-0.9941, -0.9942, -0.9943, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9986, -0.9985, -0.9983], [-0.9922, -0.9922, -0.9922, ..., -0.9980, -0.9978, -0.9976], [-0.9922, -0.9922, -0.9922, ..., -0.9950, -0.9948, -0.9943]]]) [/INST]No focal areas of consolidation. No suspicious pulmonary opacities. Heart size within normal limits. No pleural effusions. No evidence of pneumothorax. Osseous structures intact.</s>

<s>[INST] tensor([[[-0.9986, -0.9986, -0.9986, ..., -0.9985, -0.9985, -0.9985], [-0.9986, -0.9986, -0.9985, ..., -0.9985, -0.9985, -0.9985], [-0.9983, -0.9983, -0.9982, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9948, -0.9951, -0.9953, ..., -0.9986, -0.9986, -0.9986], [-0.9947, -0.9950, -0.9952, ..., -0.9986, -0.9986, -0.9986], [-0.9947, -0.9950, -0.9952, ..., -0.9986, -0.9986, -0.9986]], [[-0.9986, -0.9986, -0.9986, ..., -0.9985, -0.9985, -0.9985], [-0.9986, -0.9986, -0.9985, ..., -0.9985, -0.9985, -0.9985], [-0.9983, -0.9983, -0.9982, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9948, -0.9951, -0.9953, ..., -0.9986, -0.9986, -0.9986], [-0.9947, -0.9950, -0.9952, ..., -0.9986, -0.9986, -0.9986], [-0.9947, -0.9950, -0.9952, ..., -0.9986, -0.9986, -0.9986]], [[-0.9986, -0.9986, -0.9986, ..., -0.9985, -0.9985, -0.9985], [-0.9986, -0.9986, -0.9985, ..., -0.9985, -0.9985, -0.9985], [-0.9983, -0.9983, -0.9982, ..., -0.9985, -0.9985, -0.9985], ..., [-0.9948, -0.9951, -0.9953, ..., -0.9986, -0.9986, -0.9986], [-0.9947, -0.9950, -0.9952, ..., -0.9986, -0.9986, -0.9986], [-0.9947, -0.9950, -0.9952, ..., -0.9986, -0.9986, -0.9986]]]) [/INST]Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.</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], ..., [-0.9938, -0.9951, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9938, -0.9951, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9938, -0.9951, -0.9958, ..., -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], ..., [-0.9938, -0.9951, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9938, -0.9951, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9938, -0.9951, -0.9958, ..., -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], ..., [-0.9938, -0.9951, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9938, -0.9951, -0.9958, ..., -0.9988, -0.9988, -0.9989], [-0.9938, -0.9951, -0.9958, ..., -0.9988, -0.9988, -0.9989]]]) [/INST]Heart size within normal limits. No focal alveolar consolidation, no definite pleural effusion seen. No typical findings of pulmonary edema. No pneumothorax.</s>

<s>[INST] tensor([[[-0.9973, -0.9980, -0.9984, ..., -0.9985, -0.9985, -0.9987], [-0.9972, -0.9979, -0.9983, ..., -0.9982, -0.9983, -0.9984], [-0.9969, -0.9976, -0.9981, ..., -0.9979, -0.9980, -0.9982], ..., [-0.9936, -0.9938, -0.9942, ..., -0.9945, -0.9948, -0.9954], [-0.9936, -0.9937, -0.9940, ..., -0.9941, -0.9944, -0.9949], [-0.9935, -0.9936, -0.9938, ..., -0.9939, -0.9941, -0.9944]], [[-0.9973, -0.9980, -0.9984, ..., -0.9985, -0.9985, -0.9987], [-0.9972, -0.9979, -0.9983, ..., -0.9982, -0.9983, -0.9984], [-0.9969, -0.9976, -0.9981, ..., -0.9979, -0.9980, -0.9982], ..., [-0.9936, -0.9938, -0.9942, ..., -0.9945, -0.9948, -0.9954], [-0.9936, -0.9937, -0.9940, ..., -0.9941, -0.9944, -0.9949], [-0.9935, -0.9936, -0.9938, ..., -0.9939, -0.9941, -0.9944]], [[-0.9973, -0.9980, -0.9984, ..., -0.9985, -0.9985, -0.9987], [-0.9972, -0.9979, -0.9983, ..., -0.9982, -0.9983, -0.9984], [-0.9969, -0.9976, -0.9981, ..., -0.9979, -0.9980, -0.9982], ..., [-0.9936, -0.9938, -0.9942, ..., -0.9945, -0.9948, -0.9954], [-0.9936, -0.9937, -0.9940, ..., -0.9941, -0.9944, -0.9949], [-0.9935, -0.9936, -0.9938, ..., -0.9939, -0.9941, -0.9944]]]) [/INST]Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.</s>

<s>[INST] tensor([[[-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9926, -0.9929, -0.9934, ..., -0.9996, -0.9996, -0.9996], [-0.9926, -0.9929, -0.9933, ..., -0.9994, -0.9995, -0.9996], [-0.9926, -0.9928, -0.9931, ..., -0.9989, -0.9990, -0.9993]], [[-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9926, -0.9929, -0.9934, ..., -0.9996, -0.9996, -0.9996], [-0.9926, -0.9929, -0.9933, ..., -0.9994, -0.9995, -0.9996], [-0.9926, -0.9928, -0.9931, ..., -0.9989, -0.9990, -0.9993]], [[-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], [-0.9993, -0.9993, -0.9993, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9926, -0.9929, -0.9934, ..., -0.9996, -0.9996, -0.9996], [-0.9926, -0.9929, -0.9933, ..., -0.9994, -0.9995, -0.9996], [-0.9926, -0.9928, -0.9931, ..., -0.9989, -0.9990, -0.9993]]]) [/INST]Heart size is normal. There is tortuosity of the thoracic aorta, stable compared with prior. No focal airspace disease or effusion. No pleural effusions or pneumothoraces. Degenerative changes in the thoracic spine.</s>

<s>[INST] tensor([[[-0.9999, -0.9999, -0.9999, ..., -0.9996, -0.9996, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-1.0000, -0.9999, -0.9981, ..., -0.9954, -0.9955, -0.9970], [-1.0000, -1.0000, -0.9980, ..., -0.9951, -0.9953, -0.9968], [-1.0000, -0.9999, -0.9975, ..., -0.9944, -0.9945, -0.9963]], [[-0.9999, -0.9999, -0.9999, ..., -0.9996, -0.9996, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-1.0000, -0.9999, -0.9981, ..., -0.9954, -0.9955, -0.9970], [-1.0000, -1.0000, -0.9980, ..., -0.9951, -0.9953, -0.9968], [-1.0000, -0.9999, -0.9975, ..., -0.9944, -0.9945, -0.9963]], [[-0.9999, -0.9999, -0.9999, ..., -0.9996, -0.9996, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], ..., [-1.0000, -0.9999, -0.9981, ..., -0.9954, -0.9955, -0.9970], [-1.0000, -1.0000, -0.9980, ..., -0.9951, -0.9953, -0.9968], [-1.0000, -0.9999, -0.9975, ..., -0.9944, -0.9945, -0.9963]]]) [/INST]The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are mild degenerative changes of the thoracic spine.</s>

<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9999, -1.0000], [-1.0000, -1.0000, -0.9999, ..., -0.9999, -0.9999, -1.0000], [-1.0000, -1.0000, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9991, -0.9990, -0.9989, ..., -1.0000, -1.0000, -1.0000], [-0.9991, -0.9990, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9985, -0.9984, -0.9982, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9999, -1.0000], [-1.0000, -1.0000, -0.9999, ..., -0.9999, -0.9999, -1.0000], [-1.0000, -1.0000, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9991, -0.9990, -0.9989, ..., -1.0000, -1.0000, -1.0000], [-0.9991, -0.9990, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9985, -0.9984, -0.9982, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9999, -1.0000], [-1.0000, -1.0000, -0.9999, ..., -0.9999, -0.9999, -1.0000], [-1.0000, -1.0000, -0.9999, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9991, -0.9990, -0.9989, ..., -1.0000, -1.0000, -1.0000], [-0.9991, -0.9990, -0.9988, ..., -1.0000, -1.0000, -1.0000], [-0.9985, -0.9984, -0.9982, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The cardiac and mediastinal silhouettes are unremarkable. The lungs are well expanded and clear. There are no focal air space opacities. There is no pneumothorax or effusion. There are mild degenerative changes of the thoracic spine.</s>

<s>[INST] tensor([[[-0.9988, -0.9988, -0.9988, ..., -0.9991, -0.9991, -0.9991], [-0.9990, -0.9990, -0.9989, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9986, -0.9986, -0.9984], ..., [-0.9937, -0.9936, -0.9935, ..., -0.9943, -0.9943, -0.9928], [-0.9935, -0.9934, -0.9934, ..., -0.9942, -0.9942, -0.9931], [-0.9936, -0.9935, -0.9934, ..., -0.9928, -0.9928, -0.9926]], [[-0.9988, -0.9988, -0.9988, ..., -0.9991, -0.9991, -0.9991], [-0.9990, -0.9990, -0.9989, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9986, -0.9986, -0.9984], ..., [-0.9937, -0.9936, -0.9935, ..., -0.9943, -0.9943, -0.9928], [-0.9935, -0.9934, -0.9934, ..., -0.9942, -0.9942, -0.9931], [-0.9936, -0.9935, -0.9934, ..., -0.9928, -0.9928, -0.9926]], [[-0.9988, -0.9988, -0.9988, ..., -0.9991, -0.9991, -0.9991], [-0.9990, -0.9990, -0.9989, ..., -0.9990, -0.9990, -0.9990], [-0.9990, -0.9990, -0.9990, ..., -0.9986, -0.9986, -0.9984], ..., [-0.9937, -0.9936, -0.9935, ..., -0.9943, -0.9943, -0.9928], [-0.9935, -0.9934, -0.9934, ..., -0.9942, -0.9942, -0.9931], [-0.9936, -0.9935, -0.9934, ..., -0.9928, -0.9928, -0.9926]]]) [/INST]The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax large pleural effusion.</s>

<s>[INST] tensor([[[-0.9973, -0.9972, -0.9970, ..., -0.9994, -0.9990, -0.9972], [-0.9978, -0.9976, -0.9974, ..., -0.9995, -0.9995, -0.9993], [-0.9985, -0.9982, -0.9978, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9932, -0.9933, -0.9933, ..., -0.9984, -0.9985, -0.9985], [-0.9929, -0.9930, -0.9930, ..., -0.9967, -0.9967, -0.9968], [-0.9928, -0.9928, -0.9928, ..., -0.9940, -0.9940, -0.9940]], [[-0.9973, -0.9972, -0.9970, ..., -0.9994, -0.9990, -0.9972], [-0.9978, -0.9976, -0.9974, ..., -0.9995, -0.9995, -0.9993], [-0.9985, -0.9982, -0.9978, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9932, -0.9933, -0.9933, ..., -0.9984, -0.9985, -0.9985], [-0.9929, -0.9930, -0.9930, ..., -0.9967, -0.9967, -0.9968], [-0.9928, -0.9928, -0.9928, ..., -0.9940, -0.9940, -0.9940]], [[-0.9973, -0.9972, -0.9970, ..., -0.9994, -0.9990, -0.9972], [-0.9978, -0.9976, -0.9974, ..., -0.9995, -0.9995, -0.9993], [-0.9985, -0.9982, -0.9978, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9932, -0.9933, -0.9933, ..., -0.9984, -0.9985, -0.9985], [-0.9929, -0.9930, -0.9930, ..., -0.9967, -0.9967, -0.9968], [-0.9928, -0.9928, -0.9928, ..., -0.9940, -0.9940, -0.9940]]]) [/INST]The lungs are clear, and without focal air space opacity. The cardiomediastinal silhouette is normal in size and contour, and stable. There is no pneumothorax large pleural effusion.</s>

<s>[INST] tensor([[[-0.9981, -0.9982, -0.9981, ..., -0.9928, -0.9922, -0.9925], [-0.9992, -0.9993, -0.9992, ..., -0.9930, -0.9923, -0.9926], [-0.9994, -0.9994, -0.9994, ..., -0.9931, -0.9924, -0.9926], ..., [-0.9991, -0.9992, -0.9993, ..., -0.9978, -0.9962, -0.9939], [-0.9986, -0.9987, -0.9988, ..., -0.9968, -0.9954, -0.9937], [-0.9980, -0.9981, -0.9981, ..., -0.9953, -0.9941, -0.9931]], [[-0.9981, -0.9982, -0.9981, ..., -0.9928, -0.9922, -0.9925], [-0.9992, -0.9993, -0.9992, ..., -0.9930, -0.9923, -0.9926], [-0.9994, -0.9994, -0.9994, ..., -0.9931, -0.9924, -0.9926], ..., [-0.9991, -0.9992, -0.9993, ..., -0.9978, -0.9962, -0.9939], [-0.9986, -0.9987, -0.9988, ..., -0.9968, -0.9954, -0.9937], [-0.9980, -0.9981, -0.9981, ..., -0.9953, -0.9941, -0.9931]], [[-0.9981, -0.9982, -0.9981, ..., -0.9928, -0.9922, -0.9925], [-0.9992, -0.9993, -0.9992, ..., -0.9930, -0.9923, -0.9926], [-0.9994, -0.9994, -0.9994, ..., -0.9931, -0.9924, -0.9926], ..., [-0.9991, -0.9992, -0.9993, ..., -0.9978, -0.9962, -0.9939], [-0.9986, -0.9987, -0.9988, ..., -0.9968, -0.9954, -0.9937], [-0.9980, -0.9981, -0.9981, ..., -0.9953, -0.9941, -0.9931]]]) [/INST]The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.</s>

<s>[INST] tensor([[[-0.9980, -0.9978, -0.9975, ..., -0.9964, -0.9958, -0.9958], [-0.9991, -0.9989, -0.9986, ..., -0.9966, -0.9960, -0.9960], [-0.9996, -0.9993, -0.9990, ..., -0.9967, -0.9961, -0.9961], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9991, -0.9974], [-1.0000, -1.0000, -1.0000, ..., -0.9994, -0.9987, -0.9971], [-0.9999, -0.9999, -0.9999, ..., -0.9984, -0.9976, -0.9966]], [[-0.9980, -0.9978, -0.9975, ..., -0.9964, -0.9958, -0.9958], [-0.9991, -0.9989, -0.9986, ..., -0.9966, -0.9960, -0.9960], [-0.9996, -0.9993, -0.9990, ..., -0.9967, -0.9961, -0.9961], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9991, -0.9974], [-1.0000, -1.0000, -1.0000, ..., -0.9994, -0.9987, -0.9971], [-0.9999, -0.9999, -0.9999, ..., -0.9984, -0.9976, -0.9966]], [[-0.9980, -0.9978, -0.9975, ..., -0.9964, -0.9958, -0.9958], [-0.9991, -0.9989, -0.9986, ..., -0.9966, -0.9960, -0.9960], [-0.9996, -0.9993, -0.9990, ..., -0.9967, -0.9961, -0.9961], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9991, -0.9974], [-1.0000, -1.0000, -1.0000, ..., -0.9994, -0.9987, -0.9971], [-0.9999, -0.9999, -0.9999, ..., -0.9984, -0.9976, -0.9966]]]) [/INST]The heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen.</s>

<s>[INST] tensor([[[-0.9983, -0.9984, -0.9983, ..., -0.9995, -0.9994, -0.9994], [-0.9984, -0.9984, -0.9984, ..., -0.9995, -0.9995, -0.9994], [-0.9984, -0.9984, -0.9985, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9950, -0.9952, -0.9953, ..., -0.9975, -0.9973, -0.9968], [-0.9946, -0.9949, -0.9949, ..., -0.9973, -0.9970, -0.9966], [-0.9939, -0.9943, -0.9944, ..., -0.9969, -0.9967, -0.9964]], [[-0.9983, -0.9984, -0.9983, ..., -0.9995, -0.9994, -0.9994], [-0.9984, -0.9984, -0.9984, ..., -0.9995, -0.9995, -0.9994], [-0.9984, -0.9984, -0.9985, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9950, -0.9952, -0.9953, ..., -0.9975, -0.9973, -0.9968], [-0.9946, -0.9949, -0.9949, ..., -0.9973, -0.9970, -0.9966], [-0.9939, -0.9943, -0.9944, ..., -0.9969, -0.9967, -0.9964]], [[-0.9983, -0.9984, -0.9983, ..., -0.9995, -0.9994, -0.9994], [-0.9984, -0.9984, -0.9984, ..., -0.9995, -0.9995, -0.9994], [-0.9984, -0.9984, -0.9985, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9950, -0.9952, -0.9953, ..., -0.9975, -0.9973, -0.9968], [-0.9946, -0.9949, -0.9949, ..., -0.9973, -0.9970, -0.9966], [-0.9939, -0.9943, -0.9944, ..., -0.9969, -0.9967, -0.9964]]]) [/INST]Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality. There is incompletely evaluated lumbar levoscoliosis.</s>

<s>[INST] tensor([[[-0.9985, -0.9988, -0.9990, ..., -0.9996, -0.9996, -0.9994], [-0.9985, -0.9988, -0.9990, ..., -0.9996, -0.9996, -0.9995], [-0.9985, -0.9989, -0.9990, ..., -0.9994, -0.9994, -0.9992], ..., [-0.9964, -0.9963, -0.9962, ..., -0.9997, -0.9997, -0.9997], [-0.9962, -0.9961, -0.9959, ..., -0.9990, -0.9989, -0.9989], [-0.9964, -0.9962, -0.9961, ..., -0.9960, -0.9959, -0.9958]], [[-0.9985, -0.9988, -0.9990, ..., -0.9996, -0.9996, -0.9994], [-0.9985, -0.9988, -0.9990, ..., -0.9996, -0.9996, -0.9995], [-0.9985, -0.9989, -0.9990, ..., -0.9994, -0.9994, -0.9992], ..., [-0.9964, -0.9963, -0.9962, ..., -0.9997, -0.9997, -0.9997], [-0.9962, -0.9961, -0.9959, ..., -0.9990, -0.9989, -0.9989], [-0.9964, -0.9962, -0.9961, ..., -0.9960, -0.9959, -0.9958]], [[-0.9985, -0.9988, -0.9990, ..., -0.9996, -0.9996, -0.9994], [-0.9985, -0.9988, -0.9990, ..., -0.9996, -0.9996, -0.9995], [-0.9985, -0.9989, -0.9990, ..., -0.9994, -0.9994, -0.9992], ..., [-0.9964, -0.9963, -0.9962, ..., -0.9997, -0.9997, -0.9997], [-0.9962, -0.9961, -0.9959, ..., -0.9990, -0.9989, -0.9989], [-0.9964, -0.9962, -0.9961, ..., -0.9960, -0.9959, -0.9958]]]) [/INST]Cardiomediastinal silhouette is within normal limits of size and appearance. The pulmonary vascularity is unremarkable. Lungs are expanded and clear of airspace disease. Negative for pneumothorax or pleural effusion. Limited bone evaluation reveals no acute abnormality. There is incompletely evaluated lumbar levoscoliosis.</s>

<s>[INST] tensor([[[-0.9977, -0.9989, -0.9995, ..., -1.0000, -1.0000, -1.0000], [-0.9977, -0.9989, -0.9995, ..., -1.0000, -1.0000, -1.0000], [-0.9978, -0.9989, -0.9995, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9992, -0.9993, -0.9993, ..., -0.9999, -0.9999, -0.9999], [-0.9986, -0.9987, -0.9988, ..., -0.9997, -0.9997, -0.9997], [-0.9978, -0.9979, -0.9980, ..., -0.9995, -0.9995, -0.9996]], [[-0.9977, -0.9989, -0.9995, ..., -1.0000, -1.0000, -1.0000], [-0.9977, -0.9989, -0.9995, ..., -1.0000, -1.0000, -1.0000], [-0.9978, -0.9989, -0.9995, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9992, -0.9993, -0.9993, ..., -0.9999, -0.9999, -0.9999], [-0.9986, -0.9987, -0.9988, ..., -0.9997, -0.9997, -0.9997], [-0.9978, -0.9979, -0.9980, ..., -0.9995, -0.9995, -0.9996]], [[-0.9977, -0.9989, -0.9995, ..., -1.0000, -1.0000, -1.0000], [-0.9977, -0.9989, -0.9995, ..., -1.0000, -1.0000, -1.0000], [-0.9978, -0.9989, -0.9995, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9992, -0.9993, -0.9993, ..., -0.9999, -0.9999, -0.9999], [-0.9986, -0.9987, -0.9988, ..., -0.9997, -0.9997, -0.9997], [-0.9978, -0.9979, -0.9980, ..., -0.9995, -0.9995, -0.9996]]]) [/INST]The heart is within normal limits in size. Surgical suture material projects over the right lung apex. The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion and small right pleural effusion. No visualized pneumothorax.</s>

<s>[INST] tensor([[[-0.9996, -0.9999, -1.0000, ..., -0.9996, -0.9996, -0.9997], [-0.9996, -0.9999, -1.0000, ..., -0.9996, -0.9996, -0.9997], [-0.9996, -0.9999, -1.0000, ..., -0.9996, -0.9996, -0.9997], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9997, -0.9997, -0.9997, ..., -0.9998, -0.9999, -0.9999]], [[-0.9996, -0.9999, -1.0000, ..., -0.9996, -0.9996, -0.9997], [-0.9996, -0.9999, -1.0000, ..., -0.9996, -0.9996, -0.9997], [-0.9996, -0.9999, -1.0000, ..., -0.9996, -0.9996, -0.9997], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9997, -0.9997, -0.9997, ..., -0.9998, -0.9999, -0.9999]], [[-0.9996, -0.9999, -1.0000, ..., -0.9996, -0.9996, -0.9997], [-0.9996, -0.9999, -1.0000, ..., -0.9996, -0.9996, -0.9997], [-0.9996, -0.9999, -1.0000, ..., -0.9996, -0.9996, -0.9997], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9999, -0.9999], [-0.9999, -0.9999, -0.9999, ..., -0.9998, -0.9999, -0.9999], [-0.9997, -0.9997, -0.9997, ..., -0.9998, -0.9999, -0.9999]]]) [/INST]The heart is within normal limits in size. Surgical suture material projects over the right lung apex. The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion and small right pleural effusion. No visualized pneumothorax.</s>

<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9990, -0.9983], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9990, -0.9983], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9991, -0.9984], ..., [-0.9998, -0.9998, -0.9998, ..., -0.9924, -0.9923, -0.9926], [-0.9998, -0.9998, -0.9998, ..., -0.9922, -0.9922, -0.9925], [-0.9998, -0.9998, -0.9998, ..., -0.9922, -0.9922, -0.9925]], [[-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9990, -0.9983], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9990, -0.9983], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9991, -0.9984], ..., [-0.9998, -0.9998, -0.9998, ..., -0.9924, -0.9923, -0.9926], [-0.9998, -0.9998, -0.9998, ..., -0.9922, -0.9922, -0.9925], [-0.9998, -0.9998, -0.9998, ..., -0.9922, -0.9922, -0.9925]], [[-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9990, -0.9983], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9990, -0.9983], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9991, -0.9984], ..., [-0.9998, -0.9998, -0.9998, ..., -0.9924, -0.9923, -0.9926], [-0.9998, -0.9998, -0.9998, ..., -0.9922, -0.9922, -0.9925], [-0.9998, -0.9998, -0.9998, ..., -0.9922, -0.9922, -0.9925]]]) [/INST]The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.</s>

<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9970, -0.9969, -0.9968], [-1.0000, -1.0000, -1.0000, ..., -0.9970, -0.9968, -0.9967], [-1.0000, -1.0000, -1.0000, ..., -0.9969, -0.9968, -0.9966], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9959, -0.9958, -0.9958], [-0.9996, -0.9996, -0.9997, ..., -0.9958, -0.9957, -0.9956], [-0.9992, -0.9992, -0.9992, ..., -0.9950, -0.9950, -0.9950]], [[-1.0000, -1.0000, -1.0000, ..., -0.9970, -0.9969, -0.9968], [-1.0000, -1.0000, -1.0000, ..., -0.9970, -0.9968, -0.9967], [-1.0000, -1.0000, -1.0000, ..., -0.9969, -0.9968, -0.9966], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9959, -0.9958, -0.9958], [-0.9996, -0.9996, -0.9997, ..., -0.9958, -0.9957, -0.9956], [-0.9992, -0.9992, -0.9992, ..., -0.9950, -0.9950, -0.9950]], [[-1.0000, -1.0000, -1.0000, ..., -0.9970, -0.9969, -0.9968], [-1.0000, -1.0000, -1.0000, ..., -0.9970, -0.9968, -0.9967], [-1.0000, -1.0000, -1.0000, ..., -0.9969, -0.9968, -0.9966], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9959, -0.9958, -0.9958], [-0.9996, -0.9996, -0.9997, ..., -0.9958, -0.9957, -0.9956], [-0.9992, -0.9992, -0.9992, ..., -0.9950, -0.9950, -0.9950]]]) [/INST]The cardiac contours are normal. The lungs are clear. Thoracic spondylosis.</s>

<s>[INST] tensor([[[-0.9960, -0.9957, -0.9958, ..., -0.9979, -0.9977, -0.9972], [-0.9970, -0.9971, -0.9970, ..., -0.9989, -0.9986, -0.9979], [-0.9982, -0.9985, -0.9985, ..., -0.9993, -0.9990, -0.9982], ..., [-0.9974, -0.9977, -0.9978, ..., -0.9975, -0.9978, -0.9980], [-0.9971, -0.9975, -0.9977, ..., -0.9974, -0.9977, -0.9979], [-0.9969, -0.9973, -0.9974, ..., -0.9972, -0.9976, -0.9979]], [[-0.9960, -0.9957, -0.9958, ..., -0.9979, -0.9977, -0.9972], [-0.9970, -0.9971, -0.9970, ..., -0.9989, -0.9986, -0.9979], [-0.9982, -0.9985, -0.9985, ..., -0.9993, -0.9990, -0.9982], ..., [-0.9974, -0.9977, -0.9978, ..., -0.9975, -0.9978, -0.9980], [-0.9971, -0.9975, -0.9977, ..., -0.9974, -0.9977, -0.9979], [-0.9969, -0.9973, -0.9974, ..., -0.9972, -0.9976, -0.9979]], [[-0.9960, -0.9957, -0.9958, ..., -0.9979, -0.9977, -0.9972], [-0.9970, -0.9971, -0.9970, ..., -0.9989, -0.9986, -0.9979], [-0.9982, -0.9985, -0.9985, ..., -0.9993, -0.9990, -0.9982], ..., [-0.9974, -0.9977, -0.9978, ..., -0.9975, -0.9978, -0.9980], [-0.9971, -0.9975, -0.9977, ..., -0.9974, -0.9977, -0.9979], [-0.9969, -0.9973, -0.9974, ..., -0.9972, -0.9976, -0.9979]]]) [/INST]Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.</s>

<s>[INST] tensor([[[-0.9976, -0.9978, -0.9979, ..., -0.9992, -0.9991, -0.9989], [-0.9988, -0.9990, -0.9991, ..., -0.9996, -0.9996, -0.9996], [-0.9995, -0.9995, -0.9995, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9963, -0.9966, -0.9966, ..., -0.9994, -0.9994, -0.9994], [-0.9962, -0.9964, -0.9964, ..., -0.9994, -0.9994, -0.9994], [-0.9960, -0.9962, -0.9962, ..., -0.9994, -0.9994, -0.9994]], [[-0.9976, -0.9978, -0.9979, ..., -0.9992, -0.9991, -0.9989], [-0.9988, -0.9990, -0.9991, ..., -0.9996, -0.9996, -0.9996], [-0.9995, -0.9995, -0.9995, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9963, -0.9966, -0.9966, ..., -0.9994, -0.9994, -0.9994], [-0.9962, -0.9964, -0.9964, ..., -0.9994, -0.9994, -0.9994], [-0.9960, -0.9962, -0.9962, ..., -0.9994, -0.9994, -0.9994]], [[-0.9976, -0.9978, -0.9979, ..., -0.9992, -0.9991, -0.9989], [-0.9988, -0.9990, -0.9991, ..., -0.9996, -0.9996, -0.9996], [-0.9995, -0.9995, -0.9995, ..., -0.9996, -0.9996, -0.9996], ..., [-0.9963, -0.9966, -0.9966, ..., -0.9994, -0.9994, -0.9994], [-0.9962, -0.9964, -0.9964, ..., -0.9994, -0.9994, -0.9994], [-0.9960, -0.9962, -0.9962, ..., -0.9994, -0.9994, -0.9994]]]) [/INST]Lungs are overall hyperexpanded with flattening of the diaphragms. No focal consolidation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine.</s>

<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9993, -0.9997, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9990, -0.9996, -0.9998], ..., [-0.9998, -0.9998, -0.9998, ..., -0.9930, -0.9927, -0.9947], [-0.9998, -0.9998, -0.9998, ..., -0.9974, -0.9973, -0.9981], [-0.9997, -0.9996, -0.9996, ..., -0.9998, -0.9998, -0.9998]], [[-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9993, -0.9997, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9990, -0.9996, -0.9998], ..., [-0.9998, -0.9998, -0.9998, ..., -0.9930, -0.9927, -0.9947], [-0.9998, -0.9998, -0.9998, ..., -0.9974, -0.9973, -0.9981], [-0.9997, -0.9996, -0.9996, ..., -0.9998, -0.9998, -0.9998]], [[-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9998, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9993, -0.9997, -0.9998], [-0.9998, -0.9998, -0.9998, ..., -0.9990, -0.9996, -0.9998], ..., [-0.9998, -0.9998, -0.9998, ..., -0.9930, -0.9927, -0.9947], [-0.9998, -0.9998, -0.9998, ..., -0.9974, -0.9973, -0.9981], [-0.9997, -0.9996, -0.9996, ..., -0.9998, -0.9998, -0.9998]]]) [/INST]Bilateral patchy pulmonary opacities noted. Interval improvement in left base consolidative opacity. Pulmonary vascular congestion again noted. Stable enlarged cardiomediastinal silhouette. Stable left XXXX. No evidence of pneumothorax. No large pleural effusions.</s>

<s>[INST] tensor([[[-0.9997, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -0.9999, -0.9998, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9994, -0.9996], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9997, -0.9998], [-0.9997, -0.9997, -0.9996, ..., -1.0000, -1.0000, -1.0000]], [[-0.9997, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -0.9999, -0.9998, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9994, -0.9996], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9997, -0.9998], [-0.9997, -0.9997, -0.9996, ..., -1.0000, -1.0000, -1.0000]], [[-0.9997, -0.9996, -0.9996, ..., -1.0000, -1.0000, -1.0000], [-0.9998, -0.9997, -0.9997, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -0.9999, -0.9998, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9994, -0.9996], [-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9997, -0.9998], [-0.9997, -0.9997, -0.9996, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]Bilateral patchy pulmonary opacities noted. Interval improvement in left base consolidative opacity. Pulmonary vascular congestion again noted. Stable enlarged cardiomediastinal silhouette. Stable left XXXX. No evidence of pneumothorax. No large pleural effusions.</s>

<s>[INST] tensor([[[-0.9981, -0.9982, -0.9983, ..., -0.9988, -0.9982, -0.9974], [-0.9981, -0.9982, -0.9983, ..., -0.9988, -0.9982, -0.9974], [-0.9981, -0.9982, -0.9982, ..., -0.9985, -0.9981, -0.9973], ..., [-0.9976, -0.9976, -0.9976, ..., -0.9976, -0.9976, -0.9975], [-0.9976, -0.9976, -0.9976, ..., -0.9976, -0.9975, -0.9975], [-0.9975, -0.9975, -0.9975, ..., -0.9975, -0.9975, -0.9974]], [[-0.9981, -0.9982, -0.9983, ..., -0.9988, -0.9982, -0.9974], [-0.9981, -0.9982, -0.9983, ..., -0.9988, -0.9982, -0.9974], [-0.9981, -0.9982, -0.9982, ..., -0.9985, -0.9981, -0.9973], ..., [-0.9976, -0.9976, -0.9976, ..., -0.9976, -0.9976, -0.9975], [-0.9976, -0.9976, -0.9976, ..., -0.9976, -0.9975, -0.9975], [-0.9975, -0.9975, -0.9975, ..., -0.9975, -0.9975, -0.9974]], [[-0.9981, -0.9982, -0.9983, ..., -0.9988, -0.9982, -0.9974], [-0.9981, -0.9982, -0.9983, ..., -0.9988, -0.9982, -0.9974], [-0.9981, -0.9982, -0.9982, ..., -0.9985, -0.9981, -0.9973], ..., [-0.9976, -0.9976, -0.9976, ..., -0.9976, -0.9976, -0.9975], [-0.9976, -0.9976, -0.9976, ..., -0.9976, -0.9975, -0.9975], [-0.9975, -0.9975, -0.9975, ..., -0.9975, -0.9975, -0.9974]]]) [/INST]Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Bony thorax and soft tissue grossly unremarkable</s>

<s>[INST] tensor([[[-0.9943, -0.9943, -0.9943, ..., -0.9995, -0.9995, -0.9992], [-0.9945, -0.9945, -0.9944, ..., -0.9995, -0.9995, -0.9992], [-0.9946, -0.9946, -0.9945, ..., -0.9995, -0.9995, -0.9992], ..., [-0.9984, -0.9985, -0.9986, ..., -0.9993, -0.9989, -0.9984], [-0.9982, -0.9982, -0.9983, ..., -0.9986, -0.9982, -0.9978], [-0.9982, -0.9983, -0.9983, ..., -0.9951, -0.9947, -0.9942]], [[-0.9943, -0.9943, -0.9943, ..., -0.9995, -0.9995, -0.9992], [-0.9945, -0.9945, -0.9944, ..., -0.9995, -0.9995, -0.9992], [-0.9946, -0.9946, -0.9945, ..., -0.9995, -0.9995, -0.9992], ..., [-0.9984, -0.9985, -0.9986, ..., -0.9993, -0.9989, -0.9984], [-0.9982, -0.9982, -0.9983, ..., -0.9986, -0.9982, -0.9978], [-0.9982, -0.9983, -0.9983, ..., -0.9951, -0.9947, -0.9942]], [[-0.9943, -0.9943, -0.9943, ..., -0.9995, -0.9995, -0.9992], [-0.9945, -0.9945, -0.9944, ..., -0.9995, -0.9995, -0.9992], [-0.9946, -0.9946, -0.9945, ..., -0.9995, -0.9995, -0.9992], ..., [-0.9984, -0.9985, -0.9986, ..., -0.9993, -0.9989, -0.9984], [-0.9982, -0.9982, -0.9983, ..., -0.9986, -0.9982, -0.9978], [-0.9982, -0.9983, -0.9983, ..., -0.9951, -0.9947, -0.9942]]]) [/INST]Lungs are clear without focal consolidation, effusion, or pneumothorax. Normal heart size. Negative for pneumoperitoneum. Bony thorax and soft tissue grossly unremarkable</s>

<s>[INST] tensor([[[-0.9922, -0.9922, -0.9922, ..., -0.9926, -0.9923, -0.9925], [-0.9924, -0.9925, -0.9926, ..., -0.9928, -0.9925, -0.9926], [-0.9950, -0.9951, -0.9953, ..., -0.9930, -0.9926, -0.9927], ..., [-0.9974, -0.9975, -0.9975, ..., -0.9975, -0.9975, -0.9975], [-0.9974, -0.9975, -0.9975, ..., -0.9975, -0.9974, -0.9974], [-0.9974, -0.9975, -0.9975, ..., -0.9973, -0.9973, -0.9972]], [[-0.9922, -0.9922, -0.9922, ..., -0.9926, -0.9923, -0.9925], [-0.9924, -0.9925, -0.9926, ..., -0.9928, -0.9925, -0.9926], [-0.9950, -0.9951, -0.9953, ..., -0.9930, -0.9926, -0.9927], ..., [-0.9974, -0.9975, -0.9975, ..., -0.9975, -0.9975, -0.9975], [-0.9974, -0.9975, -0.9975, ..., -0.9975, -0.9974, -0.9974], [-0.9974, -0.9975, -0.9975, ..., -0.9973, -0.9973, -0.9972]], [[-0.9922, -0.9922, -0.9922, ..., -0.9926, -0.9923, -0.9925], [-0.9924, -0.9925, -0.9926, ..., -0.9928, -0.9925, -0.9926], [-0.9950, -0.9951, -0.9953, ..., -0.9930, -0.9926, -0.9927], ..., [-0.9974, -0.9975, -0.9975, ..., -0.9975, -0.9975, -0.9975], [-0.9974, -0.9975, -0.9975, ..., -0.9975, -0.9974, -0.9974], [-0.9974, -0.9975, -0.9975, ..., -0.9973, -0.9973, -0.9972]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic XXXX. The lungs are otherwise grossly clear.</s>

<s>[INST] tensor([[[-0.9960, -0.9962, -0.9963, ..., -0.9979, -0.9968, -0.9966], [-0.9967, -0.9969, -0.9970, ..., -0.9980, -0.9970, -0.9967], [-0.9982, -0.9983, -0.9983, ..., -0.9981, -0.9971, -0.9969], ..., [-0.9982, -0.9983, -0.9984, ..., -0.9984, -0.9984, -0.9985], [-0.9982, -0.9983, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9982, -0.9983, -0.9984, ..., -0.9984, -0.9983, -0.9984]], [[-0.9960, -0.9962, -0.9963, ..., -0.9979, -0.9968, -0.9966], [-0.9967, -0.9969, -0.9970, ..., -0.9980, -0.9970, -0.9967], [-0.9982, -0.9983, -0.9983, ..., -0.9981, -0.9971, -0.9969], ..., [-0.9982, -0.9983, -0.9984, ..., -0.9984, -0.9984, -0.9985], [-0.9982, -0.9983, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9982, -0.9983, -0.9984, ..., -0.9984, -0.9983, -0.9984]], [[-0.9960, -0.9962, -0.9963, ..., -0.9979, -0.9968, -0.9966], [-0.9967, -0.9969, -0.9970, ..., -0.9980, -0.9970, -0.9967], [-0.9982, -0.9983, -0.9983, ..., -0.9981, -0.9971, -0.9969], ..., [-0.9982, -0.9983, -0.9984, ..., -0.9984, -0.9984, -0.9985], [-0.9982, -0.9983, -0.9984, ..., -0.9984, -0.9984, -0.9984], [-0.9982, -0.9983, -0.9984, ..., -0.9984, -0.9983, -0.9984]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. Mild blunting of right costophrenic XXXX. The lungs are otherwise grossly clear.</s>

<s>[INST] tensor([[[-0.9945, -0.9945, -0.9945, ..., -0.9946, -0.9940, -0.9938], [-0.9946, -0.9946, -0.9945, ..., -0.9948, -0.9942, -0.9940], [-0.9946, -0.9947, -0.9947, ..., -0.9955, -0.9946, -0.9945], ..., [-0.9959, -0.9962, -0.9966, ..., -0.9943, -0.9939, -0.9938], [-0.9958, -0.9962, -0.9966, ..., -0.9944, -0.9939, -0.9937], [-0.9959, -0.9962, -0.9967, ..., -0.9944, -0.9939, -0.9938]], [[-0.9945, -0.9945, -0.9945, ..., -0.9946, -0.9940, -0.9938], [-0.9946, -0.9946, -0.9945, ..., -0.9948, -0.9942, -0.9940], [-0.9946, -0.9947, -0.9947, ..., -0.9955, -0.9946, -0.9945], ..., [-0.9959, -0.9962, -0.9966, ..., -0.9943, -0.9939, -0.9938], [-0.9958, -0.9962, -0.9966, ..., -0.9944, -0.9939, -0.9937], [-0.9959, -0.9962, -0.9967, ..., -0.9944, -0.9939, -0.9938]], [[-0.9945, -0.9945, -0.9945, ..., -0.9946, -0.9940, -0.9938], [-0.9946, -0.9946, -0.9945, ..., -0.9948, -0.9942, -0.9940], [-0.9946, -0.9947, -0.9947, ..., -0.9955, -0.9946, -0.9945], ..., [-0.9959, -0.9962, -0.9966, ..., -0.9943, -0.9939, -0.9938], [-0.9958, -0.9962, -0.9966, ..., -0.9944, -0.9939, -0.9937], [-0.9959, -0.9962, -0.9967, ..., -0.9944, -0.9939, -0.9938]]]) [/INST]Cardiac and mediastinal contours are within normal limits. The lungs are clear. Left axillary surgical clips. Bony structures are intact.</s>

<s>[INST] tensor([[[-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9983, -0.9986, -0.9987], [-0.9995, -0.9995, -0.9995, ..., -0.9984, -0.9985, -0.9986], [-0.9995, -0.9995, -0.9995, ..., -0.9983, -0.9985, -0.9986]], [[-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9983, -0.9986, -0.9987], [-0.9995, -0.9995, -0.9995, ..., -0.9984, -0.9985, -0.9986], [-0.9995, -0.9995, -0.9995, ..., -0.9983, -0.9985, -0.9986]], [[-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9983, -0.9986, -0.9987], [-0.9995, -0.9995, -0.9995, ..., -0.9984, -0.9985, -0.9986], [-0.9995, -0.9995, -0.9995, ..., -0.9983, -0.9985, -0.9986]]]) [/INST]Cardiac and mediastinal contours are within normal limits. The lungs are clear. Left axillary surgical clips. Bony structures are intact.</s>

<s>[INST] tensor([[[-0.9993, -0.9995, -0.9995, ..., -0.9998, -0.9996, -0.9994], [-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], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9998, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9998]], [[-0.9993, -0.9995, -0.9995, ..., -0.9998, -0.9996, -0.9994], [-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], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9998, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9998]], [[-0.9993, -0.9995, -0.9995, ..., -0.9998, -0.9996, -0.9994], [-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], [-0.9999, -0.9999, -0.9999, ..., -0.9999, -0.9999, -0.9999], [-0.9998, -0.9999, -0.9999, ..., -0.9999, -0.9998, -0.9998]]]) [/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([[[-0.9952, -0.9954, -0.9956, ..., -1.0000, -1.0000, -1.0000], [-0.9960, -0.9961, -0.9962, ..., -1.0000, -1.0000, -1.0000], [-0.9958, -0.9961, -0.9962, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000]], [[-0.9952, -0.9954, -0.9956, ..., -1.0000, -1.0000, -1.0000], [-0.9960, -0.9961, -0.9962, ..., -1.0000, -1.0000, -1.0000], [-0.9958, -0.9961, -0.9962, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000]], [[-0.9952, -0.9954, -0.9956, ..., -1.0000, -1.0000, -1.0000], [-0.9960, -0.9961, -0.9962, ..., -1.0000, -1.0000, -1.0000], [-0.9958, -0.9961, -0.9962, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-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]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([[[-0.9958, -0.9963, -0.9967, ..., -0.9981, -0.9981, -0.9981], [-0.9964, -0.9972, -0.9977, ..., -0.9982, -0.9982, -0.9982], [-0.9968, -0.9977, -0.9983, ..., -0.9989, -0.9989, -0.9989], ..., [-0.9928, -0.9937, -0.9946, ..., -0.9946, -0.9945, -0.9944], [-0.9923, -0.9929, -0.9936, ..., -0.9936, -0.9935, -0.9934], [-0.9950, -0.9952, -0.9955, ..., -0.9955, -0.9954, -0.9954]], [[-0.9958, -0.9963, -0.9967, ..., -0.9981, -0.9981, -0.9981], [-0.9964, -0.9972, -0.9977, ..., -0.9982, -0.9982, -0.9982], [-0.9968, -0.9977, -0.9983, ..., -0.9989, -0.9989, -0.9989], ..., [-0.9928, -0.9937, -0.9946, ..., -0.9946, -0.9945, -0.9944], [-0.9923, -0.9929, -0.9936, ..., -0.9936, -0.9935, -0.9934], [-0.9950, -0.9952, -0.9955, ..., -0.9955, -0.9954, -0.9954]], [[-0.9958, -0.9963, -0.9967, ..., -0.9981, -0.9981, -0.9981], [-0.9964, -0.9972, -0.9977, ..., -0.9982, -0.9982, -0.9982], [-0.9968, -0.9977, -0.9983, ..., -0.9989, -0.9989, -0.9989], ..., [-0.9928, -0.9937, -0.9946, ..., -0.9946, -0.9945, -0.9944], [-0.9923, -0.9929, -0.9936, ..., -0.9936, -0.9935, -0.9934], [-0.9950, -0.9952, -0.9955, ..., -0.9955, -0.9954, -0.9954]]]) [/INST]The heart size and cardiomediastinal silhouette are normal. There is hyperexpansion of the lungs with flattening of the hemidiaphragms. There is no focal airspace opacity, pleural effusion, or pneumothorax. There multilevel degenerative changes of thoracic spine.</s>

<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9977, -0.9977, -0.9986], [-1.0000, -0.9999, -0.9999, ..., -0.9989, -0.9989, -0.9993], [-0.9999, -0.9999, -0.9999, ..., -0.9996, -0.9995, -0.9997], ..., [-0.9986, -0.9983, -0.9980, ..., -0.9999, -0.9999, -1.0000], [-0.9985, -0.9982, -0.9978, ..., -1.0000, -1.0000, -1.0000], [-0.9983, -0.9980, -0.9977, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -0.9977, -0.9977, -0.9986], [-1.0000, -0.9999, -0.9999, ..., -0.9989, -0.9989, -0.9993], [-0.9999, -0.9999, -0.9999, ..., -0.9996, -0.9995, -0.9997], ..., [-0.9986, -0.9983, -0.9980, ..., -0.9999, -0.9999, -1.0000], [-0.9985, -0.9982, -0.9978, ..., -1.0000, -1.0000, -1.0000], [-0.9983, -0.9980, -0.9977, ..., -1.0000, -1.0000, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -0.9977, -0.9977, -0.9986], [-1.0000, -0.9999, -0.9999, ..., -0.9989, -0.9989, -0.9993], [-0.9999, -0.9999, -0.9999, ..., -0.9996, -0.9995, -0.9997], ..., [-0.9986, -0.9983, -0.9980, ..., -0.9999, -0.9999, -1.0000], [-0.9985, -0.9982, -0.9978, ..., -1.0000, -1.0000, -1.0000], [-0.9983, -0.9980, -0.9977, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The heart size and cardiomediastinal silhouette are normal. There is hyperexpansion of the lungs with flattening of the hemidiaphragms. There is no focal airspace opacity, pleural effusion, or pneumothorax. There multilevel degenerative changes of thoracic spine.</s>

<s>[INST] tensor([[[-0.9994, -0.9995, -0.9996, ..., -0.9985, -0.9985, -0.9982], [-0.9994, -0.9995, -0.9995, ..., -0.9985, -0.9984, -0.9982], [-0.9993, -0.9994, -0.9993, ..., -0.9983, -0.9982, -0.9980], ..., [-0.9980, -0.9981, -0.9981, ..., -0.9976, -0.9975, -0.9973], [-0.9979, -0.9979, -0.9980, ..., -0.9978, -0.9977, -0.9975], [-0.9974, -0.9974, -0.9974, ..., -0.9975, -0.9974, -0.9972]], [[-0.9994, -0.9995, -0.9996, ..., -0.9985, -0.9985, -0.9982], [-0.9994, -0.9995, -0.9995, ..., -0.9985, -0.9984, -0.9982], [-0.9993, -0.9994, -0.9993, ..., -0.9983, -0.9982, -0.9980], ..., [-0.9980, -0.9981, -0.9981, ..., -0.9976, -0.9975, -0.9973], [-0.9979, -0.9979, -0.9980, ..., -0.9978, -0.9977, -0.9975], [-0.9974, -0.9974, -0.9974, ..., -0.9975, -0.9974, -0.9972]], [[-0.9994, -0.9995, -0.9996, ..., -0.9985, -0.9985, -0.9982], [-0.9994, -0.9995, -0.9995, ..., -0.9985, -0.9984, -0.9982], [-0.9993, -0.9994, -0.9993, ..., -0.9983, -0.9982, -0.9980], ..., [-0.9980, -0.9981, -0.9981, ..., -0.9976, -0.9975, -0.9973], [-0.9979, -0.9979, -0.9980, ..., -0.9978, -0.9977, -0.9975], [-0.9974, -0.9974, -0.9974, ..., -0.9975, -0.9974, -0.9972]]]) [/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([[[-0.9936, -0.9939, -0.9941, ..., -0.9978, -0.9977, -0.9973], [-0.9940, -0.9943, -0.9945, ..., -0.9979, -0.9978, -0.9973], [-0.9945, -0.9949, -0.9950, ..., -0.9979, -0.9978, -0.9974], ..., [-0.9976, -0.9972, -0.9969, ..., -0.9971, -0.9969, -0.9964], [-0.9972, -0.9968, -0.9966, ..., -0.9975, -0.9974, -0.9969], [-0.9959, -0.9956, -0.9954, ..., -0.9966, -0.9965, -0.9961]], [[-0.9936, -0.9939, -0.9941, ..., -0.9978, -0.9977, -0.9973], [-0.9940, -0.9943, -0.9945, ..., -0.9979, -0.9978, -0.9973], [-0.9945, -0.9949, -0.9950, ..., -0.9979, -0.9978, -0.9974], ..., [-0.9976, -0.9972, -0.9969, ..., -0.9971, -0.9969, -0.9964], [-0.9972, -0.9968, -0.9966, ..., -0.9975, -0.9974, -0.9969], [-0.9959, -0.9956, -0.9954, ..., -0.9966, -0.9965, -0.9961]], [[-0.9936, -0.9939, -0.9941, ..., -0.9978, -0.9977, -0.9973], [-0.9940, -0.9943, -0.9945, ..., -0.9979, -0.9978, -0.9973], [-0.9945, -0.9949, -0.9950, ..., -0.9979, -0.9978, -0.9974], ..., [-0.9976, -0.9972, -0.9969, ..., -0.9971, -0.9969, -0.9964], [-0.9972, -0.9968, -0.9966, ..., -0.9975, -0.9974, -0.9969], [-0.9959, -0.9956, -0.9954, ..., -0.9966, -0.9965, -0.9961]]]) [/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([[[-0.9998, -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], ..., [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997]], [[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -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, ..., -0.9997, -0.9997, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997]], [[-0.9998, -0.9998, -0.9998, ..., -0.9998, -0.9998, -0.9998], [-0.9998, -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, ..., -0.9997, -0.9997, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997], [-0.9998, -0.9998, -0.9998, ..., -0.9997, -0.9997, -0.9997]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacities in right mid lung. The lungs are otherwise grossly clear.</s>

<s>[INST] tensor([[[-0.9988, -0.9984, -0.9983, ..., -1.0000, -1.0000, -1.0000], [-0.9988, -0.9983, -0.9983, ..., -1.0000, -1.0000, -1.0000], [-0.9988, -0.9983, -0.9983, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9999, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9998, ..., -1.0000, -1.0000, -1.0000]], [[-0.9988, -0.9984, -0.9983, ..., -1.0000, -1.0000, -1.0000], [-0.9988, -0.9983, -0.9983, ..., -1.0000, -1.0000, -1.0000], [-0.9988, -0.9983, -0.9983, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9999, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9998, ..., -1.0000, -1.0000, -1.0000]], [[-0.9988, -0.9984, -0.9983, ..., -1.0000, -1.0000, -1.0000], [-0.9988, -0.9983, -0.9983, ..., -1.0000, -1.0000, -1.0000], [-0.9988, -0.9983, -0.9983, ..., -1.0000, -1.0000, -1.0000], ..., [-0.9999, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9998, -0.9998, ..., -1.0000, -1.0000, -1.0000], [-0.9999, -0.9999, -0.9998, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. XXXX XXXX opacities in right mid lung. The lungs are otherwise grossly clear.</s>

<s>[INST] tensor([[[-0.9980, -0.9981, -0.9981, ..., -0.9987, -0.9986, -0.9982], [-0.9981, -0.9981, -0.9981, ..., -0.9988, -0.9987, -0.9986], [-0.9982, -0.9982, -0.9982, ..., -0.9988, -0.9987, -0.9985], ..., [-0.9969, -0.9969, -0.9970, ..., -0.9965, -0.9967, -0.9969], [-0.9966, -0.9966, -0.9967, ..., -0.9960, -0.9962, -0.9963], [-0.9970, -0.9971, -0.9971, ..., -0.9934, -0.9936, -0.9937]], [[-0.9980, -0.9981, -0.9981, ..., -0.9987, -0.9986, -0.9982], [-0.9981, -0.9981, -0.9981, ..., -0.9988, -0.9987, -0.9986], [-0.9982, -0.9982, -0.9982, ..., -0.9988, -0.9987, -0.9985], ..., [-0.9969, -0.9969, -0.9970, ..., -0.9965, -0.9967, -0.9969], [-0.9966, -0.9966, -0.9967, ..., -0.9960, -0.9962, -0.9963], [-0.9970, -0.9971, -0.9971, ..., -0.9934, -0.9936, -0.9937]], [[-0.9980, -0.9981, -0.9981, ..., -0.9987, -0.9986, -0.9982], [-0.9981, -0.9981, -0.9981, ..., -0.9988, -0.9987, -0.9986], [-0.9982, -0.9982, -0.9982, ..., -0.9988, -0.9987, -0.9985], ..., [-0.9969, -0.9969, -0.9970, ..., -0.9965, -0.9967, -0.9969], [-0.9966, -0.9966, -0.9967, ..., -0.9960, -0.9962, -0.9963], [-0.9970, -0.9971, -0.9971, ..., -0.9934, -0.9936, -0.9937]]]) [/INST]Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.</s>

<s>[INST] tensor([[[-0.9962, -0.9973, -0.9975, ..., -0.9994, -0.9994, -0.9994], [-0.9962, -0.9973, -0.9975, ..., -0.9995, -0.9994, -0.9994], [-0.9965, -0.9973, -0.9975, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9964, -0.9969, -0.9970, ..., -0.9987, -0.9987, -0.9987], [-0.9962, -0.9965, -0.9966, ..., -0.9981, -0.9981, -0.9980], [-0.9968, -0.9970, -0.9971, ..., -0.9946, -0.9946, -0.9945]], [[-0.9962, -0.9973, -0.9975, ..., -0.9994, -0.9994, -0.9994], [-0.9962, -0.9973, -0.9975, ..., -0.9995, -0.9994, -0.9994], [-0.9965, -0.9973, -0.9975, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9964, -0.9969, -0.9970, ..., -0.9987, -0.9987, -0.9987], [-0.9962, -0.9965, -0.9966, ..., -0.9981, -0.9981, -0.9980], [-0.9968, -0.9970, -0.9971, ..., -0.9946, -0.9946, -0.9945]], [[-0.9962, -0.9973, -0.9975, ..., -0.9994, -0.9994, -0.9994], [-0.9962, -0.9973, -0.9975, ..., -0.9995, -0.9994, -0.9994], [-0.9965, -0.9973, -0.9975, ..., -0.9995, -0.9995, -0.9994], ..., [-0.9964, -0.9969, -0.9970, ..., -0.9987, -0.9987, -0.9987], [-0.9962, -0.9965, -0.9966, ..., -0.9981, -0.9981, -0.9980], [-0.9968, -0.9970, -0.9971, ..., -0.9946, -0.9946, -0.9945]]]) [/INST]Lungs are clear. There is no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits. Bony structures are intact.</s>

<s>[INST] tensor([[[-0.9994, -0.9994, -0.9996, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9994, -0.9997, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9997, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9960, -0.9973, -0.9983, ..., -0.9997, -0.9997, -0.9997], [-0.9955, -0.9964, -0.9975, ..., -0.9993, -0.9993, -0.9994], [-0.9971, -0.9974, -0.9980, ..., -0.9998, -0.9998, -0.9998]], [[-0.9994, -0.9994, -0.9996, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9994, -0.9997, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9997, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9960, -0.9973, -0.9983, ..., -0.9997, -0.9997, -0.9997], [-0.9955, -0.9964, -0.9975, ..., -0.9993, -0.9993, -0.9994], [-0.9971, -0.9974, -0.9980, ..., -0.9998, -0.9998, -0.9998]], [[-0.9994, -0.9994, -0.9996, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9994, -0.9997, ..., -0.9998, -0.9998, -0.9998], [-0.9993, -0.9993, -0.9997, ..., -0.9999, -0.9999, -0.9999], ..., [-0.9960, -0.9973, -0.9983, ..., -0.9997, -0.9997, -0.9997], [-0.9955, -0.9964, -0.9975, ..., -0.9993, -0.9993, -0.9994], [-0.9971, -0.9974, -0.9980, ..., -0.9998, -0.9998, -0.9998]]]) [/INST]The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.</s>

<s>[INST] tensor([[[-1.0000, -0.9996, -0.9994, ..., -0.9996, -0.9995, -0.9998], [-1.0000, -0.9997, -0.9996, ..., -0.9998, -0.9997, -0.9999], [-1.0000, -0.9998, -0.9996, ..., -0.9999, -0.9998, -0.9999], ..., [-0.9990, -0.9996, -0.9997, ..., -0.9998, -0.9997, -0.9997], [-0.9986, -0.9994, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9975, -0.9984, -0.9987, ..., -0.9995, -0.9993, -0.9993]], [[-1.0000, -0.9996, -0.9994, ..., -0.9996, -0.9995, -0.9998], [-1.0000, -0.9997, -0.9996, ..., -0.9998, -0.9997, -0.9999], [-1.0000, -0.9998, -0.9996, ..., -0.9999, -0.9998, -0.9999], ..., [-0.9990, -0.9996, -0.9997, ..., -0.9998, -0.9997, -0.9997], [-0.9986, -0.9994, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9975, -0.9984, -0.9987, ..., -0.9995, -0.9993, -0.9993]], [[-1.0000, -0.9996, -0.9994, ..., -0.9996, -0.9995, -0.9998], [-1.0000, -0.9997, -0.9996, ..., -0.9998, -0.9997, -0.9999], [-1.0000, -0.9998, -0.9996, ..., -0.9999, -0.9998, -0.9999], ..., [-0.9990, -0.9996, -0.9997, ..., -0.9998, -0.9997, -0.9997], [-0.9986, -0.9994, -0.9995, ..., -0.9998, -0.9996, -0.9996], [-0.9975, -0.9984, -0.9987, ..., -0.9995, -0.9993, -0.9993]]]) [/INST]The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.</s>

<s>[INST] tensor([[[-0.9977, -0.9984, -0.9987, ..., -0.9986, -0.9981, -0.9976], [-0.9987, -0.9993, -0.9996, ..., -0.9994, -0.9990, -0.9984], [-0.9990, -0.9996, -0.9998, ..., -0.9995, -0.9991, -0.9986], ..., [-0.9989, -0.9993, -0.9995, ..., -0.9941, -0.9942, -0.9959], [-0.9987, -0.9991, -0.9993, ..., -0.9953, -0.9949, -0.9964], [-0.9985, -0.9988, -0.9989, ..., -0.9977, -0.9974, -0.9973]], [[-0.9977, -0.9984, -0.9987, ..., -0.9986, -0.9981, -0.9976], [-0.9987, -0.9993, -0.9996, ..., -0.9994, -0.9990, -0.9984], [-0.9990, -0.9996, -0.9998, ..., -0.9995, -0.9991, -0.9986], ..., [-0.9989, -0.9993, -0.9995, ..., -0.9941, -0.9942, -0.9959], [-0.9987, -0.9991, -0.9993, ..., -0.9953, -0.9949, -0.9964], [-0.9985, -0.9988, -0.9989, ..., -0.9977, -0.9974, -0.9973]], [[-0.9977, -0.9984, -0.9987, ..., -0.9986, -0.9981, -0.9976], [-0.9987, -0.9993, -0.9996, ..., -0.9994, -0.9990, -0.9984], [-0.9990, -0.9996, -0.9998, ..., -0.9995, -0.9991, -0.9986], ..., [-0.9989, -0.9993, -0.9995, ..., -0.9941, -0.9942, -0.9959], [-0.9987, -0.9991, -0.9993, ..., -0.9953, -0.9949, -0.9964], [-0.9985, -0.9988, -0.9989, ..., -0.9977, -0.9974, -0.9973]]]) [/INST]Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine.</s>

<s>[INST] tensor([[[-1.0000, -0.9996, -0.9973, ..., -0.9998, -0.9995, -0.9991], [-1.0000, -0.9998, -0.9987, ..., -1.0000, -0.9998, -0.9997], [-1.0000, -0.9998, -0.9990, ..., -1.0000, -0.9999, -0.9998], ..., [-0.9995, -0.9999, -1.0000, ..., -0.9939, -0.9950, -0.9986], [-0.9995, -0.9999, -1.0000, ..., -0.9952, -0.9960, -0.9988], [-0.9994, -0.9996, -0.9998, ..., -0.9994, -0.9991, -0.9994]], [[-1.0000, -0.9996, -0.9973, ..., -0.9998, -0.9995, -0.9991], [-1.0000, -0.9998, -0.9987, ..., -1.0000, -0.9998, -0.9997], [-1.0000, -0.9998, -0.9990, ..., -1.0000, -0.9999, -0.9998], ..., [-0.9995, -0.9999, -1.0000, ..., -0.9939, -0.9950, -0.9986], [-0.9995, -0.9999, -1.0000, ..., -0.9952, -0.9960, -0.9988], [-0.9994, -0.9996, -0.9998, ..., -0.9994, -0.9991, -0.9994]], [[-1.0000, -0.9996, -0.9973, ..., -0.9998, -0.9995, -0.9991], [-1.0000, -0.9998, -0.9987, ..., -1.0000, -0.9998, -0.9997], [-1.0000, -0.9998, -0.9990, ..., -1.0000, -0.9999, -0.9998], ..., [-0.9995, -0.9999, -1.0000, ..., -0.9939, -0.9950, -0.9986], [-0.9995, -0.9999, -1.0000, ..., -0.9952, -0.9960, -0.9988], [-0.9994, -0.9996, -0.9998, ..., -0.9994, -0.9991, -0.9994]]]) [/INST]Mild hyperexpansion of the lungs. Numerous bilateral rib deformities. No focal airspace disease. Heart size is normal. No pneumothorax or effusion. Large, flowing anterior endplate osteophytes of the thoracic spine.</s>

<s>[INST] tensor([[[-0.9979, -0.9980, -0.9980, ..., -0.9980, -0.9980, -0.9979], [-0.9979, -0.9980, -0.9980, ..., -0.9980, -0.9980, -0.9980], [-0.9980, -0.9980, -0.9980, ..., -0.9980, -0.9980, -0.9980], ..., [-0.9966, -0.9969, -0.9971, ..., -0.9980, -0.9981, -0.9981], [-0.9966, -0.9969, -0.9971, ..., -0.9980, -0.9981, -0.9981], [-0.9966, -0.9969, -0.9971, ..., -0.9981, -0.9981, -0.9981]], [[-0.9979, -0.9980, -0.9980, ..., -0.9980, -0.9980, -0.9979], [-0.9979, -0.9980, -0.9980, ..., -0.9980, -0.9980, -0.9980], [-0.9980, -0.9980, -0.9980, ..., -0.9980, -0.9980, -0.9980], ..., [-0.9966, -0.9969, -0.9971, ..., -0.9980, -0.9981, -0.9981], [-0.9966, -0.9969, -0.9971, ..., -0.9980, -0.9981, -0.9981], [-0.9966, -0.9969, -0.9971, ..., -0.9981, -0.9981, -0.9981]], [[-0.9979, -0.9980, -0.9980, ..., -0.9980, -0.9980, -0.9979], [-0.9979, -0.9980, -0.9980, ..., -0.9980, -0.9980, -0.9980], [-0.9980, -0.9980, -0.9980, ..., -0.9980, -0.9980, -0.9980], ..., [-0.9966, -0.9969, -0.9971, ..., -0.9980, -0.9981, -0.9981], [-0.9966, -0.9969, -0.9971, ..., -0.9980, -0.9981, -0.9981], [-0.9966, -0.9969, -0.9971, ..., -0.9981, -0.9981, -0.9981]]]) [/INST]The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact.</s>

<s>[INST] tensor([[[-0.9968, -0.9971, -0.9974, ..., -0.9983, -0.9983, -0.9983], [-0.9971, -0.9974, -0.9977, ..., -0.9983, -0.9983, -0.9983], [-0.9973, -0.9977, -0.9979, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9982, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9968, -0.9971, -0.9974, ..., -0.9983, -0.9983, -0.9983], [-0.9971, -0.9974, -0.9977, ..., -0.9983, -0.9983, -0.9983], [-0.9973, -0.9977, -0.9979, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9982, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]], [[-0.9968, -0.9971, -0.9974, ..., -0.9983, -0.9983, -0.9983], [-0.9971, -0.9974, -0.9977, ..., -0.9983, -0.9983, -0.9983], [-0.9973, -0.9977, -0.9979, ..., -0.9983, -0.9983, -0.9983], ..., [-0.9982, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983], [-0.9982, -0.9983, -0.9983, ..., -0.9983, -0.9983, -0.9983]]]) [/INST]The cardiomediastinal silhouette is stable in appearance. No interval change in the diffuse increased bilateral pulmonary interstitial markings, greatest in the peripheral aspect of the left lung and left lung base. These opacities appear slightly increased as compared to prior examination. Mild left-sided volume loss redemonstrated, unchanged. No pneumothorax or pleural effusion. The thoracic spine appears intact.</s>

<s>[INST] tensor([[[-0.9985, -0.9986, -0.9986, ..., -0.9987, -0.9987, -0.9987], [-0.9986, -0.9986, -0.9986, ..., -0.9987, -0.9987, -0.9987], [-0.9986, -0.9986, -0.9986, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9957, -0.9961, -0.9962, ..., -0.9962, -0.9957, -0.9951], [-0.9956, -0.9960, -0.9962, ..., -0.9954, -0.9946, -0.9942], [-0.9951, -0.9956, -0.9958, ..., -0.9942, -0.9934, -0.9934]], [[-0.9985, -0.9986, -0.9986, ..., -0.9987, -0.9987, -0.9987], [-0.9986, -0.9986, -0.9986, ..., -0.9987, -0.9987, -0.9987], [-0.9986, -0.9986, -0.9986, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9957, -0.9961, -0.9962, ..., -0.9962, -0.9957, -0.9951], [-0.9956, -0.9960, -0.9962, ..., -0.9954, -0.9946, -0.9942], [-0.9951, -0.9956, -0.9958, ..., -0.9942, -0.9934, -0.9934]], [[-0.9985, -0.9986, -0.9986, ..., -0.9987, -0.9987, -0.9987], [-0.9986, -0.9986, -0.9986, ..., -0.9987, -0.9987, -0.9987], [-0.9986, -0.9986, -0.9986, ..., -0.9987, -0.9987, -0.9987], ..., [-0.9957, -0.9961, -0.9962, ..., -0.9962, -0.9957, -0.9951], [-0.9956, -0.9960, -0.9962, ..., -0.9954, -0.9946, -0.9942], [-0.9951, -0.9956, -0.9958, ..., -0.9942, -0.9934, -0.9934]]]) [/INST]The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.</s>

<s>[INST] tensor([[[-0.9937, -0.9940, -0.9944, ..., -0.9988, -0.9988, -0.9989], [-0.9946, -0.9946, -0.9948, ..., -0.9988, -0.9988, -0.9989], [-0.9958, -0.9959, -0.9957, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9988], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9988], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9988]], [[-0.9937, -0.9940, -0.9944, ..., -0.9988, -0.9988, -0.9989], [-0.9946, -0.9946, -0.9948, ..., -0.9988, -0.9988, -0.9989], [-0.9958, -0.9959, -0.9957, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9988], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9988], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9988]], [[-0.9937, -0.9940, -0.9944, ..., -0.9988, -0.9988, -0.9989], [-0.9946, -0.9946, -0.9948, ..., -0.9988, -0.9988, -0.9989], [-0.9958, -0.9959, -0.9957, ..., -0.9988, -0.9988, -0.9989], ..., [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9988], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9988], [-0.9988, -0.9988, -0.9988, ..., -0.9988, -0.9988, -0.9988]]]) [/INST]The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.</s>

<s>[INST] tensor([[[-0.9950, -0.9954, -0.9956, ..., -0.9987, -0.9987, -0.9988], [-0.9954, -0.9959, -0.9961, ..., -0.9987, -0.9987, -0.9987], [-0.9957, -0.9962, -0.9964, ..., -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, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987]], [[-0.9950, -0.9954, -0.9956, ..., -0.9987, -0.9987, -0.9988], [-0.9954, -0.9959, -0.9961, ..., -0.9987, -0.9987, -0.9987], [-0.9957, -0.9962, -0.9964, ..., -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, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987]], [[-0.9950, -0.9954, -0.9956, ..., -0.9987, -0.9987, -0.9988], [-0.9954, -0.9959, -0.9961, ..., -0.9987, -0.9987, -0.9987], [-0.9957, -0.9962, -0.9964, ..., -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, -0.9988], [-0.9987, -0.9987, -0.9987, ..., -0.9987, -0.9987, -0.9987]]]) [/INST]The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal infiltrate or effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities.</s>

<s>[INST] tensor([[[-0.9991, -0.9992, -0.9993, ..., -0.9976, -0.9990, -0.9997], [-0.9991, -0.9992, -0.9993, ..., -0.9981, -0.9994, -0.9997], [-0.9991, -0.9993, -0.9994, ..., -0.9992, -0.9997, -0.9997], ..., [-0.9934, -0.9935, -0.9934, ..., -0.9924, -0.9924, -0.9923], [-0.9933, -0.9933, -0.9933, ..., -0.9922, -0.9922, -0.9922], [-0.9929, -0.9931, -0.9931, ..., -0.9922, -0.9922, -0.9922]], [[-0.9991, -0.9992, -0.9993, ..., -0.9976, -0.9990, -0.9997], [-0.9991, -0.9992, -0.9993, ..., -0.9981, -0.9994, -0.9997], [-0.9991, -0.9993, -0.9994, ..., -0.9992, -0.9997, -0.9997], ..., [-0.9934, -0.9935, -0.9934, ..., -0.9924, -0.9924, -0.9923], [-0.9933, -0.9933, -0.9933, ..., -0.9922, -0.9922, -0.9922], [-0.9929, -0.9931, -0.9931, ..., -0.9922, -0.9922, -0.9922]], [[-0.9991, -0.9992, -0.9993, ..., -0.9976, -0.9990, -0.9997], [-0.9991, -0.9992, -0.9993, ..., -0.9981, -0.9994, -0.9997], [-0.9991, -0.9993, -0.9994, ..., -0.9992, -0.9997, -0.9997], ..., [-0.9934, -0.9935, -0.9934, ..., -0.9924, -0.9924, -0.9923], [-0.9933, -0.9933, -0.9933, ..., -0.9922, -0.9922, -0.9922], [-0.9929, -0.9931, -0.9931, ..., -0.9922, -0.9922, -0.9922]]]) [/INST]The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.</s>

<s>[INST] tensor([[[-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9929, -0.9930, -0.9931, ..., -0.9975, -0.9991, -0.9996], [-0.9928, -0.9930, -0.9930, ..., -0.9958, -0.9966, -0.9974], [-0.9929, -0.9930, -0.9930, ..., -0.9946, -0.9947, -0.9949]], [[-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9929, -0.9930, -0.9931, ..., -0.9975, -0.9991, -0.9996], [-0.9928, -0.9930, -0.9930, ..., -0.9958, -0.9966, -0.9974], [-0.9929, -0.9930, -0.9930, ..., -0.9946, -0.9947, -0.9949]], [[-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], [-0.9992, -0.9992, -0.9992, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9929, -0.9930, -0.9931, ..., -0.9975, -0.9991, -0.9996], [-0.9928, -0.9930, -0.9930, ..., -0.9958, -0.9966, -0.9974], [-0.9929, -0.9930, -0.9930, ..., -0.9946, -0.9947, -0.9949]]]) [/INST]The heart and lungs have XXXX XXXX in the interval. Both lungs are clear and expanded. Heart and mediastinum normal.</s>

<s>[INST] tensor([[[-0.9986, -0.9993, -0.9998, ..., -0.9998, -0.9999, -0.9999], [-0.9987, -0.9993, -0.9998, ..., -0.9999, -0.9999, -1.0000], [-0.9987, -0.9993, -0.9998, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9999, -0.9998, -0.9998], [-0.9989, -0.9990, -0.9990, ..., -0.9998, -0.9997, -0.9997], [-0.9941, -0.9941, -0.9942, ..., -0.9995, -0.9995, -0.9995]], [[-0.9986, -0.9993, -0.9998, ..., -0.9998, -0.9999, -0.9999], [-0.9987, -0.9993, -0.9998, ..., -0.9999, -0.9999, -1.0000], [-0.9987, -0.9993, -0.9998, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9999, -0.9998, -0.9998], [-0.9989, -0.9990, -0.9990, ..., -0.9998, -0.9997, -0.9997], [-0.9941, -0.9941, -0.9942, ..., -0.9995, -0.9995, -0.9995]], [[-0.9986, -0.9993, -0.9998, ..., -0.9998, -0.9999, -0.9999], [-0.9987, -0.9993, -0.9998, ..., -0.9999, -0.9999, -1.0000], [-0.9987, -0.9993, -0.9998, ..., -0.9999, -0.9999, -1.0000], ..., [-0.9997, -0.9997, -0.9997, ..., -0.9999, -0.9998, -0.9998], [-0.9989, -0.9990, -0.9990, ..., -0.9998, -0.9997, -0.9997], [-0.9941, -0.9941, -0.9942, ..., -0.9995, -0.9995, -0.9995]]]) [/INST]The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia.</s>

<s>[INST] tensor([[[-0.9989, -0.9989, -0.9988, ..., -0.9993, -0.9993, -0.9993], [-0.9989, -0.9990, -0.9990, ..., -0.9993, -0.9993, -0.9993], [-0.9989, -0.9990, -0.9990, ..., -0.9992, -0.9993, -0.9993], ..., [-0.9982, -0.9970, -0.9964, ..., -0.9948, -0.9950, -0.9948], [-0.9981, -0.9968, -0.9963, ..., -0.9944, -0.9946, -0.9939], [-0.9980, -0.9967, -0.9962, ..., -0.9939, -0.9939, -0.9929]], [[-0.9989, -0.9989, -0.9988, ..., -0.9993, -0.9993, -0.9993], [-0.9989, -0.9990, -0.9990, ..., -0.9993, -0.9993, -0.9993], [-0.9989, -0.9990, -0.9990, ..., -0.9992, -0.9993, -0.9993], ..., [-0.9982, -0.9970, -0.9964, ..., -0.9948, -0.9950, -0.9948], [-0.9981, -0.9968, -0.9963, ..., -0.9944, -0.9946, -0.9939], [-0.9980, -0.9967, -0.9962, ..., -0.9939, -0.9939, -0.9929]], [[-0.9989, -0.9989, -0.9988, ..., -0.9993, -0.9993, -0.9993], [-0.9989, -0.9990, -0.9990, ..., -0.9993, -0.9993, -0.9993], [-0.9989, -0.9990, -0.9990, ..., -0.9992, -0.9993, -0.9993], ..., [-0.9982, -0.9970, -0.9964, ..., -0.9948, -0.9950, -0.9948], [-0.9981, -0.9968, -0.9963, ..., -0.9944, -0.9946, -0.9939], [-0.9980, -0.9967, -0.9962, ..., -0.9939, -0.9939, -0.9929]]]) [/INST]Stable cardiomegaly with vascular prominence without overt edema. No focal airspace disease. No large pleural effusion or pneumothorax. The XXXX are intact.</s>

<s>[INST] tensor([[[-0.9979, -0.9978, -0.9978, ..., -0.9986, -0.9986, -0.9985], [-0.9979, -0.9979, -0.9979, ..., -0.9987, -0.9987, -0.9986], [-0.9979, -0.9979, -0.9980, ..., -0.9987, -0.9986, -0.9986], ..., [-0.9963, -0.9966, -0.9968, ..., -0.9987, -0.9982, -0.9978], [-0.9967, -0.9970, -0.9972, ..., -0.9986, -0.9984, -0.9979], [-0.9970, -0.9972, -0.9974, ..., -0.9965, -0.9962, -0.9957]], [[-0.9979, -0.9978, -0.9978, ..., -0.9986, -0.9986, -0.9985], [-0.9979, -0.9979, -0.9979, ..., -0.9987, -0.9987, -0.9986], [-0.9979, -0.9979, -0.9980, ..., -0.9987, -0.9986, -0.9986], ..., [-0.9963, -0.9966, -0.9968, ..., -0.9987, -0.9982, -0.9978], [-0.9967, -0.9970, -0.9972, ..., -0.9986, -0.9984, -0.9979], [-0.9970, -0.9972, -0.9974, ..., -0.9965, -0.9962, -0.9957]], [[-0.9979, -0.9978, -0.9978, ..., -0.9986, -0.9986, -0.9985], [-0.9979, -0.9979, -0.9979, ..., -0.9987, -0.9987, -0.9986], [-0.9979, -0.9979, -0.9980, ..., -0.9987, -0.9986, -0.9986], ..., [-0.9963, -0.9966, -0.9968, ..., -0.9987, -0.9982, -0.9978], [-0.9967, -0.9970, -0.9972, ..., -0.9986, -0.9984, -0.9979], [-0.9970, -0.9972, -0.9974, ..., -0.9965, -0.9962, -0.9957]]]) [/INST]The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is an 8mm nodule in the left lower lobe, XXXX calcified granuloma. There is no pneumothorax or effusion. Bony structures of the thorax are intact with minimal early degenerative change.</s>

<s>[INST] tensor([[[-0.9973, -0.9973, -0.9973, ..., -0.9977, -0.9977, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9978, -0.9977, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9978, -0.9977, -0.9976], ..., [-0.9974, -0.9975, -0.9976, ..., -0.9984, -0.9983, -0.9983], [-0.9975, -0.9976, -0.9976, ..., -0.9967, -0.9966, -0.9965], [-0.9980, -0.9981, -0.9981, ..., -0.9947, -0.9947, -0.9945]], [[-0.9973, -0.9973, -0.9973, ..., -0.9977, -0.9977, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9978, -0.9977, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9978, -0.9977, -0.9976], ..., [-0.9974, -0.9975, -0.9976, ..., -0.9984, -0.9983, -0.9983], [-0.9975, -0.9976, -0.9976, ..., -0.9967, -0.9966, -0.9965], [-0.9980, -0.9981, -0.9981, ..., -0.9947, -0.9947, -0.9945]], [[-0.9973, -0.9973, -0.9973, ..., -0.9977, -0.9977, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9978, -0.9977, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9978, -0.9977, -0.9976], ..., [-0.9974, -0.9975, -0.9976, ..., -0.9984, -0.9983, -0.9983], [-0.9975, -0.9976, -0.9976, ..., -0.9967, -0.9966, -0.9965], [-0.9980, -0.9981, -0.9981, ..., -0.9947, -0.9947, -0.9945]]]) [/INST]The cardiac and mediastinal contours are within normal limits. The lungs are well-inflated and clear. There is an 8mm nodule in the left lower lobe, XXXX calcified granuloma. There is no pneumothorax or effusion. Bony structures of the thorax are intact with minimal early degenerative change.</s>

<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -0.9995, -0.9995, -0.9995], [-0.9998, -0.9998, -0.9998, ..., -0.9996, -0.9995, -0.9995], [-0.9998, -0.9998, -0.9998, ..., -0.9996, -0.9996, -0.9995], ..., [-0.9965, -0.9963, -0.9961, ..., -0.9995, -0.9995, -0.9995], [-0.9965, -0.9963, -0.9961, ..., -0.9995, -0.9995, -0.9995], [-0.9965, -0.9963, -0.9961, ..., -0.9995, -0.9995, -0.9995]], [[-0.9998, -0.9998, -0.9998, ..., -0.9995, -0.9995, -0.9995], [-0.9998, -0.9998, -0.9998, ..., -0.9996, -0.9995, -0.9995], [-0.9998, -0.9998, -0.9998, ..., -0.9996, -0.9996, -0.9995], ..., [-0.9965, -0.9963, -0.9961, ..., -0.9995, -0.9995, -0.9995], [-0.9965, -0.9963, -0.9961, ..., -0.9995, -0.9995, -0.9995], [-0.9965, -0.9963, -0.9961, ..., -0.9995, -0.9995, -0.9995]], [[-0.9998, -0.9998, -0.9998, ..., -0.9995, -0.9995, -0.9995], [-0.9998, -0.9998, -0.9998, ..., -0.9996, -0.9995, -0.9995], [-0.9998, -0.9998, -0.9998, ..., -0.9996, -0.9996, -0.9995], ..., [-0.9965, -0.9963, -0.9961, ..., -0.9995, -0.9995, -0.9995], [-0.9965, -0.9963, -0.9961, ..., -0.9995, -0.9995, -0.9995], [-0.9965, -0.9963, -0.9961, ..., -0.9995, -0.9995, -0.9995]]]) [/INST]The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the thoracic spine. There is a calcified granuloma identified in the right suprahilar region. The aorta is mildly tortuous and ectatic. There is asymmetric right apical smooth pleural thickening. There are severe degenerative changes of the XXXX.</s>

<s>[INST] tensor([[[-0.9995, -0.9995, -0.9995, ..., -0.9995, -0.9995, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9995, -0.9995, -0.9995], [-0.9995, -0.9995, -0.9995, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9957, -0.9959, -0.9960], [-0.9995, -0.9995, -0.9995, ..., -0.9957, -0.9958, -0.9959], [-0.9995, -0.9995, -0.9995, ..., -0.9956, -0.9957, -0.9958]], [[-0.9995, -0.9995, -0.9995, ..., -0.9995, -0.9995, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9995, -0.9995, -0.9995], [-0.9995, -0.9995, -0.9995, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9957, -0.9959, -0.9960], [-0.9995, -0.9995, -0.9995, ..., -0.9957, -0.9958, -0.9959], [-0.9995, -0.9995, -0.9995, ..., -0.9956, -0.9957, -0.9958]], [[-0.9995, -0.9995, -0.9995, ..., -0.9995, -0.9995, -0.9994], [-0.9995, -0.9995, -0.9995, ..., -0.9995, -0.9995, -0.9995], [-0.9995, -0.9995, -0.9995, ..., -0.9995, -0.9995, -0.9995], ..., [-0.9995, -0.9995, -0.9995, ..., -0.9957, -0.9959, -0.9960], [-0.9995, -0.9995, -0.9995, ..., -0.9957, -0.9958, -0.9959], [-0.9995, -0.9995, -0.9995, ..., -0.9956, -0.9957, -0.9958]]]) [/INST]The heart, pulmonary XXXX and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal air space opacity to suggest a pneumonia. There are degenerative changes of the thoracic spine. There is a calcified granuloma identified in the right suprahilar region. The aorta is mildly tortuous and ectatic. There is asymmetric right apical smooth pleural thickening. There are severe degenerative changes of the XXXX.</s>

<s>[INST] tensor([[[-0.9974, -0.9976, -0.9980, ..., -0.9997, -0.9998, -0.9998], [-0.9977, -0.9980, -0.9985, ..., -0.9998, -0.9998, -0.9998], [-0.9978, -0.9980, -0.9985, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9974, -0.9974, -0.9974, ..., -0.9976, -0.9976, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9976, -0.9976, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9975, -0.9975, -0.9976]], [[-0.9974, -0.9976, -0.9980, ..., -0.9997, -0.9998, -0.9998], [-0.9977, -0.9980, -0.9985, ..., -0.9998, -0.9998, -0.9998], [-0.9978, -0.9980, -0.9985, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9974, -0.9974, -0.9974, ..., -0.9976, -0.9976, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9976, -0.9976, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9975, -0.9975, -0.9976]], [[-0.9974, -0.9976, -0.9980, ..., -0.9997, -0.9998, -0.9998], [-0.9977, -0.9980, -0.9985, ..., -0.9998, -0.9998, -0.9998], [-0.9978, -0.9980, -0.9985, ..., -0.9998, -0.9998, -0.9998], ..., [-0.9974, -0.9974, -0.9974, ..., -0.9976, -0.9976, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9976, -0.9976, -0.9976], [-0.9974, -0.9974, -0.9974, ..., -0.9975, -0.9975, -0.9976]]]) [/INST]A XXXX XXXX lung volumes. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.</s>

<s>[INST] tensor([[[-0.9949, -0.9953, -0.9957, ..., -0.9963, -0.9964, -0.9965], [-0.9949, -0.9953, -0.9956, ..., -0.9964, -0.9964, -0.9964], [-0.9950, -0.9953, -0.9956, ..., -0.9960, -0.9961, -0.9960], ..., [-0.9930, -0.9929, -0.9928, ..., -0.9966, -0.9968, -0.9966], [-0.9930, -0.9929, -0.9929, ..., -0.9967, -0.9967, -0.9965], [-0.9931, -0.9931, -0.9930, ..., -0.9969, -0.9968, -0.9966]], [[-0.9949, -0.9953, -0.9957, ..., -0.9963, -0.9964, -0.9965], [-0.9949, -0.9953, -0.9956, ..., -0.9964, -0.9964, -0.9964], [-0.9950, -0.9953, -0.9956, ..., -0.9960, -0.9961, -0.9960], ..., [-0.9930, -0.9929, -0.9928, ..., -0.9966, -0.9968, -0.9966], [-0.9930, -0.9929, -0.9929, ..., -0.9967, -0.9967, -0.9965], [-0.9931, -0.9931, -0.9930, ..., -0.9969, -0.9968, -0.9966]], [[-0.9949, -0.9953, -0.9957, ..., -0.9963, -0.9964, -0.9965], [-0.9949, -0.9953, -0.9956, ..., -0.9964, -0.9964, -0.9964], [-0.9950, -0.9953, -0.9956, ..., -0.9960, -0.9961, -0.9960], ..., [-0.9930, -0.9929, -0.9928, ..., -0.9966, -0.9968, -0.9966], [-0.9930, -0.9929, -0.9929, ..., -0.9967, -0.9967, -0.9965], [-0.9931, -0.9931, -0.9930, ..., -0.9969, -0.9968, -0.9966]]]) [/INST]A XXXX XXXX lung volumes. Lungs are clear without focal airspace disease. No pleural effusions or pneumothoraces. cardiomegaly. Degenerative changes in the spine.</s>

<s>[INST] tensor([[[-0.9997, -0.9997, -0.9997, ..., -0.9989, -0.9981, -0.9979], [-0.9997, -0.9997, -0.9997, ..., -0.9988, -0.9981, -0.9979], [-0.9997, -0.9997, -0.9997, ..., -0.9987, -0.9981, -0.9980], ..., [-0.9982, -0.9982, -0.9981, ..., -0.9974, -0.9991, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -0.9967, -0.9989, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9970, -0.9990, -1.0000]], [[-0.9997, -0.9997, -0.9997, ..., -0.9989, -0.9981, -0.9979], [-0.9997, -0.9997, -0.9997, ..., -0.9988, -0.9981, -0.9979], [-0.9997, -0.9997, -0.9997, ..., -0.9987, -0.9981, -0.9980], ..., [-0.9982, -0.9982, -0.9981, ..., -0.9974, -0.9991, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -0.9967, -0.9989, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9970, -0.9990, -1.0000]], [[-0.9997, -0.9997, -0.9997, ..., -0.9989, -0.9981, -0.9979], [-0.9997, -0.9997, -0.9997, ..., -0.9988, -0.9981, -0.9979], [-0.9997, -0.9997, -0.9997, ..., -0.9987, -0.9981, -0.9980], ..., [-0.9982, -0.9982, -0.9981, ..., -0.9974, -0.9991, -1.0000], [-0.9999, -0.9999, -0.9999, ..., -0.9967, -0.9989, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9970, -0.9990, -1.0000]]]) [/INST]Heart size is normal and cardiomediastinal silhouette is normal. There are scattered calcified granulomas throughout both lung XXXX. Lungs are clear bilaterally otherwise. No bony or soft tissue abnormalities.</s>

<s>[INST] tensor([[[-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9996], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9995, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9995, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9996, -0.9998]], [[-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9996], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9995, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9995, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9996, -0.9998]], [[-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9996], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9997, -0.9996], ..., [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9995, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9995, -0.9998], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9996, -0.9998]]]) [/INST]Heart size is normal and cardiomediastinal silhouette is normal. There are scattered calcified granulomas throughout both lung XXXX. Lungs are clear bilaterally otherwise. No bony or soft tissue abnormalities.</s>

<s>[INST] tensor([[[-0.9982, -0.9982, -0.9983, ..., -0.9988, -0.9988, -0.9989], [-0.9982, -0.9983, -0.9984, ..., -0.9985, -0.9986, -0.9986], [-0.9982, -0.9983, -0.9985, ..., -0.9983, -0.9984, -0.9984], ..., [-0.9955, -0.9958, -0.9960, ..., -0.9990, -0.9990, -0.9990], [-0.9955, -0.9958, -0.9960, ..., -0.9990, -0.9990, -0.9990], [-0.9955, -0.9957, -0.9960, ..., -0.9990, -0.9990, -0.9990]], [[-0.9982, -0.9982, -0.9983, ..., -0.9988, -0.9988, -0.9989], [-0.9982, -0.9983, -0.9984, ..., -0.9985, -0.9986, -0.9986], [-0.9982, -0.9983, -0.9985, ..., -0.9983, -0.9984, -0.9984], ..., [-0.9955, -0.9958, -0.9960, ..., -0.9990, -0.9990, -0.9990], [-0.9955, -0.9958, -0.9960, ..., -0.9990, -0.9990, -0.9990], [-0.9955, -0.9957, -0.9960, ..., -0.9990, -0.9990, -0.9990]], [[-0.9982, -0.9982, -0.9983, ..., -0.9988, -0.9988, -0.9989], [-0.9982, -0.9983, -0.9984, ..., -0.9985, -0.9986, -0.9986], [-0.9982, -0.9983, -0.9985, ..., -0.9983, -0.9984, -0.9984], ..., [-0.9955, -0.9958, -0.9960, ..., -0.9990, -0.9990, -0.9990], [-0.9955, -0.9958, -0.9960, ..., -0.9990, -0.9990, -0.9990], [-0.9955, -0.9957, -0.9960, ..., -0.9990, -0.9990, -0.9990]]]) [/INST]The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.</s>

<s>[INST] tensor([[[-0.9979, -0.9976, -0.9971, ..., -0.9994, -0.9994, -0.9994], [-0.9981, -0.9980, -0.9978, ..., -0.9994, -0.9994, -0.9994], [-0.9982, -0.9981, -0.9980, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9994, -0.9995, -0.9995, ..., -0.9995, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9987, -0.9986, -0.9984]], [[-0.9979, -0.9976, -0.9971, ..., -0.9994, -0.9994, -0.9994], [-0.9981, -0.9980, -0.9978, ..., -0.9994, -0.9994, -0.9994], [-0.9982, -0.9981, -0.9980, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9994, -0.9995, -0.9995, ..., -0.9995, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9987, -0.9986, -0.9984]], [[-0.9979, -0.9976, -0.9971, ..., -0.9994, -0.9994, -0.9994], [-0.9981, -0.9980, -0.9978, ..., -0.9994, -0.9994, -0.9994], [-0.9982, -0.9981, -0.9980, ..., -0.9994, -0.9994, -0.9994], ..., [-0.9994, -0.9995, -0.9995, ..., -0.9995, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9994, -0.9994, -0.9994], [-0.9994, -0.9995, -0.9995, ..., -0.9987, -0.9986, -0.9984]]]) [/INST]The heart is normal size. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. The XXXX are unremarkable.</s>

<s>[INST] tensor([[[-0.9965, -0.9973, -0.9977, ..., -0.9983, -0.9981, -0.9980], [-0.9977, -0.9984, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9987], ..., [-0.9986, -0.9986, -0.9986, ..., -0.9978, -0.9983, -0.9986], [-0.9986, -0.9986, -0.9986, ..., -0.9977, -0.9980, -0.9983], [-0.9986, -0.9986, -0.9986, ..., -0.9974, -0.9978, -0.9981]], [[-0.9965, -0.9973, -0.9977, ..., -0.9983, -0.9981, -0.9980], [-0.9977, -0.9984, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9987], ..., [-0.9986, -0.9986, -0.9986, ..., -0.9978, -0.9983, -0.9986], [-0.9986, -0.9986, -0.9986, ..., -0.9977, -0.9980, -0.9983], [-0.9986, -0.9986, -0.9986, ..., -0.9974, -0.9978, -0.9981]], [[-0.9965, -0.9973, -0.9977, ..., -0.9983, -0.9981, -0.9980], [-0.9977, -0.9984, -0.9986, ..., -0.9986, -0.9986, -0.9986], [-0.9985, -0.9986, -0.9986, ..., -0.9986, -0.9986, -0.9987], ..., [-0.9986, -0.9986, -0.9986, ..., -0.9978, -0.9983, -0.9986], [-0.9986, -0.9986, -0.9986, ..., -0.9977, -0.9980, -0.9983], [-0.9986, -0.9986, -0.9986, ..., -0.9974, -0.9978, -0.9981]]]) [/INST]There extremely low lung volumes. there is right basilar opacity. There is no pneumothorax. There is no large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits.</s>

<s>[INST] tensor([[[-0.9986, -0.9986, -0.9986, ..., -0.9940, -0.9938, -0.9939], [-0.9986, -0.9987, -0.9987, ..., -0.9960, -0.9958, -0.9955], [-0.9987, -0.9987, -0.9987, ..., -0.9980, -0.9978, -0.9975], ..., [-0.9967, -0.9970, -0.9970, ..., -0.9987, -0.9987, -0.9987], [-0.9966, -0.9970, -0.9970, ..., -0.9987, -0.9987, -0.9987], [-0.9966, -0.9969, -0.9969, ..., -0.9987, -0.9987, -0.9987]], [[-0.9986, -0.9986, -0.9986, ..., -0.9940, -0.9938, -0.9939], [-0.9986, -0.9987, -0.9987, ..., -0.9960, -0.9958, -0.9955], [-0.9987, -0.9987, -0.9987, ..., -0.9980, -0.9978, -0.9975], ..., [-0.9967, -0.9970, -0.9970, ..., -0.9987, -0.9987, -0.9987], [-0.9966, -0.9970, -0.9970, ..., -0.9987, -0.9987, -0.9987], [-0.9966, -0.9969, -0.9969, ..., -0.9987, -0.9987, -0.9987]], [[-0.9986, -0.9986, -0.9986, ..., -0.9940, -0.9938, -0.9939], [-0.9986, -0.9987, -0.9987, ..., -0.9960, -0.9958, -0.9955], [-0.9987, -0.9987, -0.9987, ..., -0.9980, -0.9978, -0.9975], ..., [-0.9967, -0.9970, -0.9970, ..., -0.9987, -0.9987, -0.9987], [-0.9966, -0.9970, -0.9970, ..., -0.9987, -0.9987, -0.9987], [-0.9966, -0.9969, -0.9969, ..., -0.9987, -0.9987, -0.9987]]]) [/INST]There extremely low lung volumes. there is right basilar opacity. There is no pneumothorax. There is no large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits.</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], ..., [-0.9962, -0.9970, -0.9973, ..., -0.9956, -0.9954, -0.9990], [-0.9962, -0.9970, -0.9973, ..., -0.9956, -0.9953, -0.9990], [-0.9979, -0.9983, -0.9985, ..., -0.9975, -0.9974, -0.9994]], [[-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], ..., [-0.9962, -0.9970, -0.9973, ..., -0.9956, -0.9954, -0.9990], [-0.9962, -0.9970, -0.9973, ..., -0.9956, -0.9953, -0.9990], [-0.9979, -0.9983, -0.9985, ..., -0.9975, -0.9974, -0.9994]], [[-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], ..., [-0.9962, -0.9970, -0.9973, ..., -0.9956, -0.9954, -0.9990], [-0.9962, -0.9970, -0.9973, ..., -0.9956, -0.9953, -0.9990], [-0.9979, -0.9983, -0.9985, ..., -0.9975, -0.9974, -0.9994]]]) [/INST]The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Minimal right basilar subsegmental atelectasis noted. Cardio mediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. Visualized osseous structures of the thorax are without acute abnormality.</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, -0.9999, -1.0000]], [[-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -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, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -1.0000, -1.0000, -1.0000], ..., [-1.0000, -1.0000, -1.0000, ..., -1.0000, -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]]]) [/INST]The lungs are clear bilaterally. Specifically, no evidence of focal consolidation, pneumothorax, or pleural effusion.. Minimal right basilar subsegmental atelectasis noted. Cardio mediastinal silhouette is unremarkable. Tortuosity of the thoracic aorta noted. Scattered calcified granulomas are seen without evidence of active granulomatous/tuberculous process. Visualized osseous structures of the thorax are without acute abnormality.</s>

<s>[INST] tensor([[[-0.9969, -0.9969, -0.9969, ..., -0.9969, -0.9969, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9969, -0.9969, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9968, -0.9968, -0.9969], ..., [-0.9969, -0.9969, -0.9969, ..., -0.9966, -0.9968, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9966, -0.9968, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9966, -0.9968, -0.9969]], [[-0.9969, -0.9969, -0.9969, ..., -0.9969, -0.9969, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9969, -0.9969, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9968, -0.9968, -0.9969], ..., [-0.9969, -0.9969, -0.9969, ..., -0.9966, -0.9968, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9966, -0.9968, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9966, -0.9968, -0.9969]], [[-0.9969, -0.9969, -0.9969, ..., -0.9969, -0.9969, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9969, -0.9969, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9968, -0.9968, -0.9969], ..., [-0.9969, -0.9969, -0.9969, ..., -0.9966, -0.9968, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9966, -0.9968, -0.9969], [-0.9969, -0.9969, -0.9969, ..., -0.9966, -0.9968, -0.9969]]]) [/INST]Lung lines remain low. However, no focal infiltrates are identified. Heart and pulmonary XXXX are normal.</s>

<s>[INST] tensor([[[-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9997, -0.9997], [-0.9990, -0.9990, -0.9990, ..., -0.9995, -0.9997, -0.9997], [-0.9989, -0.9989, -0.9990, ..., -0.9994, -0.9996, -0.9997], ..., [-0.9938, -0.9939, -0.9938, ..., -0.9997, -0.9996, -0.9996], [-0.9938, -0.9937, -0.9937, ..., -0.9996, -0.9997, -0.9997], [-0.9939, -0.9939, -0.9939, ..., -0.9989, -0.9993, -0.9996]], [[-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9997, -0.9997], [-0.9990, -0.9990, -0.9990, ..., -0.9995, -0.9997, -0.9997], [-0.9989, -0.9989, -0.9990, ..., -0.9994, -0.9996, -0.9997], ..., [-0.9938, -0.9939, -0.9938, ..., -0.9997, -0.9996, -0.9996], [-0.9938, -0.9937, -0.9937, ..., -0.9996, -0.9997, -0.9997], [-0.9939, -0.9939, -0.9939, ..., -0.9989, -0.9993, -0.9996]], [[-0.9991, -0.9991, -0.9991, ..., -0.9996, -0.9997, -0.9997], [-0.9990, -0.9990, -0.9990, ..., -0.9995, -0.9997, -0.9997], [-0.9989, -0.9989, -0.9990, ..., -0.9994, -0.9996, -0.9997], ..., [-0.9938, -0.9939, -0.9938, ..., -0.9997, -0.9996, -0.9996], [-0.9938, -0.9937, -0.9937, ..., -0.9996, -0.9997, -0.9997], [-0.9939, -0.9939, -0.9939, ..., -0.9989, -0.9993, -0.9996]]]) [/INST]Lung lines remain low. However, no focal infiltrates are identified. Heart and pulmonary XXXX are normal.</s>

<s>[INST] tensor([[[-0.9943, -0.9944, -0.9948, ..., -0.9969, -0.9969, -0.9969], [-0.9945, -0.9948, -0.9956, ..., -0.9984, -0.9984, -0.9983], [-0.9947, -0.9953, -0.9964, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9961, -0.9972, -0.9981, ..., -0.9994, -0.9994, -0.9993], [-0.9961, -0.9972, -0.9981, ..., -0.9994, -0.9993, -0.9991], [-0.9960, -0.9971, -0.9980, ..., -0.9993, -0.9992, -0.9991]], [[-0.9943, -0.9944, -0.9948, ..., -0.9969, -0.9969, -0.9969], [-0.9945, -0.9948, -0.9956, ..., -0.9984, -0.9984, -0.9983], [-0.9947, -0.9953, -0.9964, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9961, -0.9972, -0.9981, ..., -0.9994, -0.9994, -0.9993], [-0.9961, -0.9972, -0.9981, ..., -0.9994, -0.9993, -0.9991], [-0.9960, -0.9971, -0.9980, ..., -0.9993, -0.9992, -0.9991]], [[-0.9943, -0.9944, -0.9948, ..., -0.9969, -0.9969, -0.9969], [-0.9945, -0.9948, -0.9956, ..., -0.9984, -0.9984, -0.9983], [-0.9947, -0.9953, -0.9964, ..., -0.9993, -0.9993, -0.9993], ..., [-0.9961, -0.9972, -0.9981, ..., -0.9994, -0.9994, -0.9993], [-0.9961, -0.9972, -0.9981, ..., -0.9994, -0.9993, -0.9991], [-0.9960, -0.9971, -0.9980, ..., -0.9993, -0.9992, -0.9991]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>

<s>[INST] tensor([[[-0.9952, -0.9955, -0.9960, ..., -0.9988, -0.9988, -0.9988], [-0.9956, -0.9962, -0.9971, ..., -0.9997, -0.9997, -0.9997], [-0.9959, -0.9969, -0.9982, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9971, -0.9982, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9971, -0.9982, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9971, -0.9982, -0.9992, ..., -0.9994, -0.9994, -0.9994]], [[-0.9952, -0.9955, -0.9960, ..., -0.9988, -0.9988, -0.9988], [-0.9956, -0.9962, -0.9971, ..., -0.9997, -0.9997, -0.9997], [-0.9959, -0.9969, -0.9982, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9971, -0.9982, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9971, -0.9982, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9971, -0.9982, -0.9992, ..., -0.9994, -0.9994, -0.9994]], [[-0.9952, -0.9955, -0.9960, ..., -0.9988, -0.9988, -0.9988], [-0.9956, -0.9962, -0.9971, ..., -0.9997, -0.9997, -0.9997], [-0.9959, -0.9969, -0.9982, ..., -0.9997, -0.9997, -0.9997], ..., [-0.9971, -0.9982, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9971, -0.9982, -0.9992, ..., -0.9994, -0.9994, -0.9994], [-0.9971, -0.9982, -0.9992, ..., -0.9994, -0.9994, -0.9994]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear.</s>

<s>[INST] tensor([[[-0.9989, -0.9989, -0.9989, ..., -0.9991, -0.9991, -0.9991], [-0.9989, -0.9989, -0.9989, ..., -0.9991, -0.9991, -0.9991], [-0.9989, -0.9989, -0.9989, ..., -0.9991, -0.9991, -0.9991], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9922, -0.9922, -0.9922], [-0.9922, -0.9922, -0.9922, ..., -0.9923, -0.9922, -0.9922], [-0.9923, -0.9922, -0.9922, ..., -0.9925, -0.9925, -0.9924]], [[-0.9989, -0.9989, -0.9989, ..., -0.9991, -0.9991, -0.9991], [-0.9989, -0.9989, -0.9989, ..., -0.9991, -0.9991, -0.9991], [-0.9989, -0.9989, -0.9989, ..., -0.9991, -0.9991, -0.9991], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9922, -0.9922, -0.9922], [-0.9922, -0.9922, -0.9922, ..., -0.9923, -0.9922, -0.9922], [-0.9923, -0.9922, -0.9922, ..., -0.9925, -0.9925, -0.9924]], [[-0.9989, -0.9989, -0.9989, ..., -0.9991, -0.9991, -0.9991], [-0.9989, -0.9989, -0.9989, ..., -0.9991, -0.9991, -0.9991], [-0.9989, -0.9989, -0.9989, ..., -0.9991, -0.9991, -0.9991], ..., [-0.9922, -0.9922, -0.9922, ..., -0.9922, -0.9922, -0.9922], [-0.9922, -0.9922, -0.9922, ..., -0.9923, -0.9922, -0.9922], [-0.9923, -0.9922, -0.9922, ..., -0.9925, -0.9925, -0.9924]]]) [/INST]The tracheostomy tube tip is 5 cm above the carina. There are prominent diffuse bilateral interstitial opacities, stable from prior radiographs. There is no focal airspace consolidation. No pleural effusion. No pneumothorax. Heart size is within normal limits. There are mild degenerative changes of the spine.</s>

<s>[INST] tensor([[[-0.9998, -0.9998, -0.9998, ..., -0.9995, -0.9996, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9997, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9998, -1.0000], ..., [-0.9922, -0.9922, -0.9922, ..., -1.0000, -1.0000, -1.0000], [-0.9922, -0.9922, -0.9922, ..., -1.0000, -1.0000, -1.0000], [-0.9925, -0.9925, -0.9926, ..., -1.0000, -1.0000, -1.0000]], [[-0.9998, -0.9998, -0.9998, ..., -0.9995, -0.9996, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9997, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9998, -1.0000], ..., [-0.9922, -0.9922, -0.9922, ..., -1.0000, -1.0000, -1.0000], [-0.9922, -0.9922, -0.9922, ..., -1.0000, -1.0000, -1.0000], [-0.9925, -0.9925, -0.9926, ..., -1.0000, -1.0000, -1.0000]], [[-0.9998, -0.9998, -0.9998, ..., -0.9995, -0.9996, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9997, -0.9997, -1.0000], [-1.0000, -1.0000, -1.0000, ..., -0.9998, -0.9998, -1.0000], ..., [-0.9922, -0.9922, -0.9922, ..., -1.0000, -1.0000, -1.0000], [-0.9922, -0.9922, -0.9922, ..., -1.0000, -1.0000, -1.0000], [-0.9925, -0.9925, -0.9926, ..., -1.0000, -1.0000, -1.0000]]]) [/INST]The tracheostomy tube tip is 5 cm above the carina. There are prominent diffuse bilateral interstitial opacities, stable from prior radiographs. There is no focal airspace consolidation. No pleural effusion. No pneumothorax. Heart size is within normal limits. There are mild degenerative changes of the spine.</s>

<s>[INST] tensor([[[-0.9981, -0.9981, -0.9981, ..., -0.9981, -0.9981, -0.9981], [-0.9981, -0.9981, -0.9981, ..., -0.9979, -0.9980, -0.9980], [-0.9981, -0.9981, -0.9981, ..., -0.9975, -0.9977, -0.9978], ..., [-0.9964, -0.9963, -0.9962, ..., -0.9963, -0.9965, -0.9967], [-0.9962, -0.9961, -0.9959, ..., -0.9959, -0.9962, -0.9963], [-0.9960, -0.9958, -0.9957, ..., -0.9954, -0.9957, -0.9958]], [[-0.9981, -0.9981, -0.9981, ..., -0.9981, -0.9981, -0.9981], [-0.9981, -0.9981, -0.9981, ..., -0.9979, -0.9980, -0.9980], [-0.9981, -0.9981, -0.9981, ..., -0.9975, -0.9977, -0.9978], ..., [-0.9964, -0.9963, -0.9962, ..., -0.9963, -0.9965, -0.9967], [-0.9962, -0.9961, -0.9959, ..., -0.9959, -0.9962, -0.9963], [-0.9960, -0.9958, -0.9957, ..., -0.9954, -0.9957, -0.9958]], [[-0.9981, -0.9981, -0.9981, ..., -0.9981, -0.9981, -0.9981], [-0.9981, -0.9981, -0.9981, ..., -0.9979, -0.9980, -0.9980], [-0.9981, -0.9981, -0.9981, ..., -0.9975, -0.9977, -0.9978], ..., [-0.9964, -0.9963, -0.9962, ..., -0.9963, -0.9965, -0.9967], [-0.9962, -0.9961, -0.9959, ..., -0.9959, -0.9962, -0.9963], [-0.9960, -0.9958, -0.9957, ..., -0.9954, -0.9957, -0.9958]]]) [/INST]The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. Mild scoliosis and degenerative changes of the thoracic spine noted.</s>