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[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The patient is status post esophagectomy and gastric pull through. The lungs are hyperinflated. There are new patchy airspace opacities in the bilateral lung bases, concerning for aspiration. Chronic medial right apex pleural thickening and triangular peripheral interstital opacities in the right mid lung field are again seen. A hazy opacity consistent with chronic scarring related to radiation treatment is again seen in the medial right upper lobe. An 8 mm nodular opacity is again seen within the right lower lobe, unchanged from prior exam. There is atelectasis at the left lung base. A chronic right pleural effusion is again noted. There is no left pleural effusion. Cardiomediastinal silhouette is stable. There is no pneumothorax. Visualized osseous structures are unremarkable.",
"role": "assistant"
}
] |
[
"../images/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg",
"../images/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. New bibasilar patchy airspace opacities, concerning for aspiration pneumonia. 2. Stable right upper lobe radiation treatment related changes and stable right lower lobe pulmonary nodule. 3. Unchanged small right pleural effusion.",
"role": "assistant"
}
] |
[
"../images/16384581-f188d696-944e2d78-10472ce0-ba2e73b9.jpg",
"../images/9d610a3e-d49aa652-74dee660-f60d66e8-8cb3cee5.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "PA and lateral views of the chest: Interstitial opacities within the right upper lobe are thought to represent recurrent pneumonia. Pneumonia was noted in this area on ___ but had essentially cleared on ___. The right lower lobe nodule is unchanged in size through ___. There is no pneumothorax. A small right pleural effusion and right apical scarring persists. The neo esophagus is not distended. The mediastinal silhouette is normal in contour.",
"role": "assistant"
}
] |
[
"../images/cb2f4f2e-e36e5b5c-fabde40d-22a6a15f-4a4b48ad.jpg",
"../images/88ac4d9d-ea366489-d2c7596b-40fb6489-d3571491.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Recurrent right upper lobe pneumonia.",
"role": "assistant"
}
] |
[
"../images/cb2f4f2e-e36e5b5c-fabde40d-22a6a15f-4a4b48ad.jpg",
"../images/88ac4d9d-ea366489-d2c7596b-40fb6489-d3571491.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The lungs are hyperinflated and diaphragms are flattened. An ill-defined opacity in the right upper lobe is persists compared to ___, and has changed configuration slightly. An 8 mm right lower lobe pulmonary nodule is stable. A small right effusion or pleural thickening is unchanged. There is no pneumothorax. Cardiac and mediastinal contours are unchanged, and the patient is status post esophagectomy and gastric pull-through.",
"role": "assistant"
}
] |
[
"../images/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg",
"../images/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Persistent right upper lobe ill-defined opacity has changed configuration compared to the prior study and may be reflective of recurrent pneumonia or aspiration. Change in interpretation from the preliminary to final report was communicated with Dr ___ ___ phone at ___ on ___ by ___",
"role": "assistant"
}
] |
[
"../images/598e45ce-e1207880-a1ec58ba-40195e6f-fc66ef76.jpg",
"../images/7c90c07b-1bc26a56-953fb718-22a14ecc-13cba6ed.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Cardiac, mediastinal and hilar contours are stable. The patient is status post esophagectomy and gastric pull-through. Chronic scarring within the medial aspect of the right upper lobe is compatible with post radiation changes. Tenting of the right hemidiaphragm is compatible chronic volume loss in the right lung. Worsening opacification within the right upper lobe is concerning for recurrent pneumonia or aspiration. 8 mm nodular opacity within the right lower lobe is unchanged. The left lung is clear. Blunting of the right costophrenic angle is chronic, and likely reflects a chronic small pleural effusion. No pneumothorax. No acute osseous abnormalities demonstrated.",
"role": "assistant"
}
] |
[
"../images/33d7c4a7-e8bf129a-21ceae38-44747cd9-eee583d8.jpg",
"../images/802aa49f-a2a5d56e-91eab903-012ba3a8-2bfc4156.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. Worsening opacification within the right upper lobe which is concerning for recurrent pneumonia or aspiration. Follow up radiographs are recommended after treatment to ensure resolution of this finding. 2. Status post esophagectomy and gastric pull-through with right upper lobe medial scarring related to prior radiation treatment. 3. Unchanged 8 mm right lower lobe pulmonary nodule.",
"role": "assistant"
}
] |
[
"../images/33d7c4a7-e8bf129a-21ceae38-44747cd9-eee583d8.jpg",
"../images/802aa49f-a2a5d56e-91eab903-012ba3a8-2bfc4156.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The known gastric pull-through for esophageal cancer is not distended. Bony coalition between the posterior arch of the sixth and seventh right ribs is congenital. There is increased vague opacity in the right mid lung superimposed on the site of bony coalition. Opacity in this area is increased since ___ but is similar to ___, and may represent recurrent pneumonia. A right lower lobe nodule is similar in size through ___. No pleural effusion or pneumothorax is present. The pulmonary vasculature is unremarkable. No radiopaque foreign body.",
"role": "assistant"
}
] |
[
"../images/2861b26c-2fa81175-590e2970-96ddb7e3-43145356.jpg",
"../images/e12bad7a-760b3371-e15d9215-21ede9cc-79748575.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Right mid lung opacity, waxing and waning since ___, compatible with recurrent pneumonia. Follow-up is recommended after therapy to exclude neoplasm given the patient's history of malignancy. Final impression was communicated via phone call to Dr. ___ by ___ ___ on ___ at 12:45pm.",
"role": "assistant"
}
] |
[
"../images/2861b26c-2fa81175-590e2970-96ddb7e3-43145356.jpg",
"../images/e12bad7a-760b3371-e15d9215-21ede9cc-79748575.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "PA and lateral chest compared to ___: Right upper lobe pneumonia continues to clear. Tiny right pleural effusion is smaller. Hyperinflation indicates COPD. Heart size normal. Right apical pleural scarring unchanged.",
"role": "assistant"
}
] |
[
"../images/655fe8bc-af25268c-f206b4d3-5d5ed0cb-8d545266.jpg",
"../images/ec287abe-512e254e-ceb45b38-1ac39168-fab5d2d8.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Single portable view of the chest. There is increased opacity in the right lung, particularly projecting over the base. Right lung base nodule is less well seen on the current exam, potentially projectional, and adequate comparison for interval change is not possible on this exam. Post-radiation changes are again seen in the right paratracheal region. There is also subtle opacity at the left lung base in the retrocardiac region. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified. Bridging of the posterior right ___ and 7th ribs are again seen.",
"role": "assistant"
}
] |
[
"../images/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Bibasilar right greater than left opacities, new since prior, which could represent infection or potentially aspiration. No other change since prior.",
"role": "assistant"
}
] |
[
"../images/dadf469d-f8a75d8f-24e452d6-a7394bb7-ace0708c.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "PA and lateral chest radiograph is compared to prior study dated ___. There has been little interval change with no focal consolidation concerning for pneumonia identified. Lungs are hyperinflated. Patient is status post radiation therapy to the right lung. Previously seen right lower lung sub cm nodular opacity is not definitely visualized. Cardiomediastinal contours are stable. There is no pleural effusion or pneumothorax. Visualized osseous structures demonstrates no acute abnormality.",
"role": "assistant"
}
] |
[
"../images/9961f085-b04f7f91-4556e341-26c1f4f0-28e741d3.jpg",
"../images/84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No acute intrathoracic abnormality. Hyperinflated lungs with chronic radiation changes.",
"role": "assistant"
}
] |
[
"../images/9961f085-b04f7f91-4556e341-26c1f4f0-28e741d3.jpg",
"../images/84ee4f3c-27c6c5ff-e84f61b7-1ab68ce3-99820e85.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The patient has had prior esophagectomy with a gastric pull-through. A new right lower lobe airspace opacity is likely due to aspiration pneumonia. The left lung is clear. There is no pneumothorax. Cardiomediastinal silhouette is stable.",
"role": "assistant"
}
] |
[
"../images/a8e2d6ea-965ac36e-82736ccb-0acb7d58-32efb51c.jpg",
"../images/ac311552-a76f7711-c263444b-9819dc86-6fd39b27.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "New right lower lobe aspiration pneumonia. NOTIFICATION: The findings were discussed by Dr. ___ with Dr. ___ on the telephone on ___ at 4:57 PM, 20 minutes after discovery of the findings.",
"role": "assistant"
}
] |
[
"../images/a8e2d6ea-965ac36e-82736ccb-0acb7d58-32efb51c.jpg",
"../images/ac311552-a76f7711-c263444b-9819dc86-6fd39b27.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "No significant interval change. The lungs remain hyperinflated. No focal consolidation, edema, or pneumothorax. Bilateral pleural effusions are small. The heart is normal in size. Retrocardiac opacity on the right is consistent with neo esophagus. No acute osseous abnormality.",
"role": "assistant"
}
] |
[
"../images/b85ad152-d351373d-9b33bc0d-584cf132-a45e2d7a.jpg",
"../images/a10a9311-c671bfd9-f28b7373-5afea312-47bb1afc.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Small bilateral pleural effusions are unchanged. No evidence of pneumonia.",
"role": "assistant"
}
] |
[
"../images/b85ad152-d351373d-9b33bc0d-584cf132-a45e2d7a.jpg",
"../images/a10a9311-c671bfd9-f28b7373-5afea312-47bb1afc.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, the pre-existing and pre-described right lower lobe pneumonia has substantially increased in extent and severity. There now is a large area of parenchymal consolidation at the right lung bases, potentially associated with a small right pleural effusion. The size of the cardiac silhouette is minimally enlarged. The retrocardiac atelectasis has newly occurred. Unchanged tortuosity of the thoracic aorta. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/0096fc1d-7c100751-e1c8cb03-c461efb4-1c6b0f8e.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Cardiac silhouette size is normal. The mediastinal and hilar contours are unchanged with evidence of prior esophagectomy and gastric pull-through. Atherosclerotic calcifications within the aortic arch are re- demonstrated. Ill-defined patchy opacities are noted involving the right mid and lower lung fields as well as to a lesser extent within the left lung base, findings which are suspicious for aspiration pneumonia. Blunting of the costophrenic angles posteriorly on the lateral view suggests small bilateral pleural effusions, new in the interval. No pneumothorax or pulmonary vascular congestion is present. There are no acute osseous abnormalities.",
"role": "assistant"
}
] |
[
"../images/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg",
"../images/e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Multifocal ill-defined patchy opacities involving the right mid lung field and both lung bases concerning for aspiration pneumonia. New small bilateral pleural effusions.",
"role": "assistant"
}
] |
[
"../images/3cc07937-2cb3dffb-6e6a2421-e9bdb84b-5ce5879d.jpg",
"../images/e3592dcd-ca0b0f88-415e34bf-6f5bb257-2502a74e.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The lungs are hyperinflated but clear of consolidation. Linear opacity in the right mid to upper lung is compatible with scarring as well as changes of the posterior right ribs which are chronic. Blunting of the right lateral posterior costophrenic angle is chronic, potentially due to scarring or trace effusion. Blunting of the left posterior costophrenic angle suggests small pleural effusion. Cardiomediastinal silhouette is within normal limits. Prominent retrocardiac opacity on the right is compatible with a neo esophagus. No acute osseous abnormalities.",
"role": "assistant"
}
] |
[
"../images/a9bee7d5-a1c51732-47596431-51533889-5d29f1a5.jpg",
"../images/2434d6b8-4828302e-7923908c-d6ea3b85-b4cfc271.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "New trace left pleural effusion. Otherwise, no significant interval change.",
"role": "assistant"
}
] |
[
"../images/a9bee7d5-a1c51732-47596431-51533889-5d29f1a5.jpg",
"../images/2434d6b8-4828302e-7923908c-d6ea3b85-b4cfc271.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "SINCE ___, multifocal pneumonia has resolved and there is no new consolidation or other evidence of active intrathoracic infection. Persistent blunting of the right posterior pleural sulcus could be due to scarring or a small chronic pleural effusion. The heart is no longer mildly enlarged and the neo esophagus, after esophagectomy, is no longer distended. Mild pulmonary hyperinflation reflects emphysema. Healed fractures of the posterior right sixth and seventh ribs should not be mistaken for a lung or pleural lesion.",
"role": "assistant"
}
] |
[
"../images/b5564bca-94e03bff-a5bd29e1-970f6aae-fc494e6a.jpg",
"../images/8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Previous pneumonia resolved since ___. No evidence of current infection. Emphysema. Small right pleural effusion or pleural scarring, clinically insignificant. NOTIFICATION: The findings were discussed by Dr. ___ with Dr. ___ on the telephoneon ___ at 4:39 PM, 10 minutes after discovery of the findings.",
"role": "assistant"
}
] |
[
"../images/b5564bca-94e03bff-a5bd29e1-970f6aae-fc494e6a.jpg",
"../images/8a6b0550-8fa3b54b-4703a676-db84baf7-e4fe2d48.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "PA AND LATERAL CHEST RADIOGRAPH: A right lower lobe lung nodule measuring 8 mm is stable dating back to CT scan of ___. Biapical post-radiation changes are unchanged. Mediastinal and cardiac contours are stable. There is no pneumothorax. Trace right pleural effusion cannot be excluded. Bony coalition between the posterior arch of the sixth and seventh right ribs is congenital. Vague opacity within the right middle lung is similar to findings of ___ and may represent recurrent pneumonia.",
"role": "assistant"
}
] |
[
"../images/7fb0f54f-a18826e9-05962b2b-66a603ac-a0991889.jpg",
"../images/8a565b17-188c1777-2d30f26c-e0d5e08a-9669a05c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "PA and lateral views of the chest provided. There is mild blunting of the right CP angle which could reflect a tiny effusion or pleural thickening. The lungs are otherwise clear. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.",
"role": "assistant"
}
] |
[
"../images/a55b384b-7dd7a06c-b48b46f4-b7522c74-c7f156b3.jpg",
"../images/7a5259b0-9269238e-9b74539d-cb40d5f2-2680707c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Tiny right pleural effusion versus pleural thickening.",
"role": "assistant"
}
] |
[
"../images/a55b384b-7dd7a06c-b48b46f4-b7522c74-c7f156b3.jpg",
"../images/7a5259b0-9269238e-9b74539d-cb40d5f2-2680707c.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Previously reported right lower lobe pneumonia has nearly resolved with only mild residual peribronchiolar opacification remaining in the right infrahilar area. A small right pleural effusion has nearly resolved. Localized bronchiectasis and scarring in the right upper lobe is similar to older studies. A small nodule at the right lung base is similar to previous CT of ___. Postoperative changes in the chest are similar including post radiation alterations and findings related to previous esophagectomy and pull-up procedure.",
"role": "assistant"
}
] |
[
"../images/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg",
"../images/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Near resolution of right lower lobe pneumonia. Additional followup chest x-ray in 4 weeks may be helpful to document complete resolution or stability of residual right infrahilar opacity.",
"role": "assistant"
}
] |
[
"../images/33284e5a-85da9149-d0f13ac2-f5decf0b-1c4c6eb8.jpg",
"../images/fd446187-4918e937-9c58f354-86463aca-af75d8a6.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral views of the chest were obtained. Again seen is right-sided volume loss with right pleural scarring seen, particularly at the right lung apex. Patient is status post esophagectomy and again presumably radiation to the midline in the upper chest. Fullness along the right cardiac border, slightly more prominent as compared to the prior study, likely relates to patient's gastric pull-through as seen on ___ CT. No definite new focal consolidation is seen. There is no new pleural effusion or pneumothorax. Calcified hilar and mediastinal lymph nodes again seen.",
"role": "assistant"
}
] |
[
"../images/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg",
"../images/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No new focal consolidation. Postoperative changes in this patient status post esophagectomy with gastric pull-through.",
"role": "assistant"
}
] |
[
"../images/0d38c57b-b5016fab-3c868031-eac42204-ea570e4a.jpg",
"../images/2c61f550-b2cf13d5-7166fc86-c7e9e336-2d1f9ae7.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "There are new heterogenous parenchymal opacities involving the right upper lobe and right lower lobe, compatible with patient's recent history of aspiration. Opacity along the medial aspect of the right apex likely represents post-radiation changes, and was noted as far back as the ___ CT Torso. Small right pleural effusion is not significantly changed from prior. The left lung is essentially clear. No pneumothorax. The mediastinum, hila and heart are within normal limits.",
"role": "assistant"
}
] |
[
"../images/e2234150-47ef84f5-890d2cf4-8b9741a3-0e9ccc46.jpg",
"../images/b019f6c5-62bfcfe4-13976b55-788794c1-c400accb.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. New heterogenous parenchymal opacities in the RUL and RLL, compatible with aspiration pneumonia. 2. Stable post-radiation changes in right paramediastinal lung. NOTIFICATION: Findings telephoned to Dr. ___ by Dr. ___ on ___ at 1PM, time of discovery.",
"role": "assistant"
}
] |
[
"../images/e2234150-47ef84f5-890d2cf4-8b9741a3-0e9ccc46.jpg",
"../images/b019f6c5-62bfcfe4-13976b55-788794c1-c400accb.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The patient has prior history of gastric pull-through with radiation therapy for esophageal cancer. Right upper lobe consolidation in posterior segment has slightly improved. The lungs are hyperinflated. 6 mm right lower lobe nodule is unchanged since ___. Small right pleural effusion is stable since ___. There is no pneumothorax. Mediastinal and cardiac contours are normal. CONCLUSION: Right upper lobe infiltrate has improved since ___. There is no new lung consolidation.",
"role": "assistant"
}
] |
[
"../images/78a4e7a2-9072e849-a90eb438-518cd14b-3ea197d4.jpg",
"../images/17799b54-f6da063b-4b089f2b-c496ec31-de79a706.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The lungs are clear, the cardiomediastinal silhouette and hila are normal. A gastric pull up is again seen. There is no pleural effusion and no pneumothorax. A bony coalition is seen at the posterior ___ and 7th ribs, unchanged from the prior study. No acute displaced rib fractures are seen. Rib detail views with pain markers might be considered for further workup.",
"role": "assistant"
}
] |
[
"../images/d162120b-8bfaf7bf-a5c9e4c5-ab6b8617-14987b73.jpg",
"../images/65dcdea0-f39be5c6-c97cef2b-387508f2-173ba1cf.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Since the prior study, the previously described right upper lobe nodularity has improved, with residual left upper lobe opacities, possibly repesenting postinflammatory scarring. There is no large pleural effusion, focal pneumonia, or pneumothorax. Left apical clips are unchanged in position. The cardiomediastinal silhouette is stable. Postsurgical changes in the upper abdomen are related to prior left nephrectomy.",
"role": "assistant"
}
] |
[
"../images/3b4729dd-0500c5d0-6b19652c-b8718761-f7ddbbc3.jpg",
"../images/2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. No acute cardiopulmonary process. 2. Improved biapical opacities as compared to prior radiograph in early ___. Small pulmonary nodules are better assessed on prior chest CT from ___.",
"role": "assistant"
}
] |
[
"../images/3b4729dd-0500c5d0-6b19652c-b8718761-f7ddbbc3.jpg",
"../images/2e11d19f-7fd45c8b-fd747233-8ee0a18d-191447d3.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "New nodular opacity in the right upper lobe, concerning for metastatic disease, less likely infection in this patient with known history of RCC. A chest CT is recommended for further evaluation.",
"role": "assistant"
}
] |
[
"../images/bbeb5006-95cd0d0e-263c6445-ee37f7f9-a48dd6ab.jpg",
"../images/feab557c-84c132e2-a4172ea5-87289e6b-4c74334d.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "There is interval progression in upper lobe opacities, bilateral, with is similar areas of distribution but involving more substantial amount of lung parenchyma. Heart size and mediastinum are unchanged. The differential diagnosis might include cryptogenic organizing pneumonia as previously suggested as well as potentially sarcoidosis. Correlation with tissue diagnosis is recommended.",
"role": "assistant"
}
] |
[
"../images/510ca6cf-743434ff-01206413-6f3baf22-8e2e37b8.jpg",
"../images/7356a3c4-b08d7964-33f10497-0dc8f50e-4c20aa7f.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Low lung volumes are present which accentuate the size of the cardiac silhouette which is mildly enlarged. The mediastinal and hilar contours are unremarkable. Ill-defined somewhat nodular opacities are noted within the upper lobes bilaterally, more pronounced on the left, similar to that seen on the prior CT. Known smaller nodules within the lower lobes bilaterally are better assessed on prior CT. Minimal atelectasis is seen at the left lung base. No pleural effusion, focal consolidation or pneumothorax is identified. Multiple clips are noted within the left upper abdomen compatible with prior nephrectomy. No acute osseous abnormalities demonstrated.",
"role": "assistant"
}
] |
[
"../images/4fe5756d-bd504c0e-ec57e8bd-d9d21f15-a2cd65f3.jpg",
"../images/b2dff771-d162bb4b-180d5ef7-ed2022f8-e32ac869.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Ill-defined nodular opacities within the upper lobes, more pronounced on the left, are similar compared to the prior CT, and again may reflect a drug related pneumonitis. No focal consolidation identified. Minimal atelectasis in the left lung base.",
"role": "assistant"
}
] |
[
"../images/4fe5756d-bd504c0e-ec57e8bd-d9d21f15-a2cd65f3.jpg",
"../images/b2dff771-d162bb4b-180d5ef7-ed2022f8-e32ac869.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "NO FOCAL CONSOLIDATION IS SEEN. THERE IS MINOR BASILAR ATELECTASIS. NO PLEURAL EFFUSION OR PNEUMOTHORAX. THE CARDIAC AND MEDIASTINAL SILHOUETTES ARE STABLE. LINEAR RADIOPAQUE STRUCTURE PROJECTING OVER THE LEFT HEMIDIAPHRAGM MAY BE EXTERNAL TO THE PATIENT OR SURGICAL CLIPS. ADDITIONAL SURGICAL CLIPS ARE NOTED IN THE LEFT MID HEMITHORAX AND UPPER HEMITHORAX.",
"role": "assistant"
}
] |
[
"../images/7b6d99b9-abd98664-19db4d28-6510c45f-df1bec18.jpg",
"../images/2f40daa6-51dad1b2-e683d1c3-cdf10946-d37ae69f.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No acute cardiopulmonary process.",
"role": "assistant"
}
] |
[
"../images/7b6d99b9-abd98664-19db4d28-6510c45f-df1bec18.jpg",
"../images/2f40daa6-51dad1b2-e683d1c3-cdf10946-d37ae69f.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, all pre-existing parenchymal opacities have completely resolved. The lung volumes are low. Borderline size of the cardiac silhouette with no evidence of overt pulmonary edema. No pleural effusions. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/b94eec73-cb649388-7099d440-7f1bbf0c-f1a3b98d.jpg",
"../images/b8f3266c-fd5e2262-10ddcd8f-b4a513bc-dd07a145.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Manage although there are no prior chest radiographs available for review, this study is read in conjunction with chest CT scans most recently ___. Multiple lung nodules range in diameter up to 2.5 cm, left lower lobe. Left hilar enlargement conforms to adenopathy. There is no pleural effusion. The heart is mildly enlarged.",
"role": "assistant"
}
] |
[
"../images/96e64947-6f39b2c9-edd75d31-b4875ef8-20d4d547.jpg",
"../images/b9515644-3201e291-84f9839a-308ca0a6-fb3dc5c3.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, the nodular opacity at the bases of the right upper lobe, that was clearly present at the last examination, has completely cleared. There currently is no evidence of lung nodules or lung masses suggestive of metastatic lung disease. The pleural surfaces are even. There is no evidence of pleural effusions. No evidence of rib abnormalities. Clips are seen projecting over the medial aspect of the left lung apex, cranially to the aortic knob. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours. Clips projecting over the left upper quadrant.",
"role": "assistant"
}
] |
[
"../images/a77f001a-2af09f25-bba035a7-1a8b1a02-641eb8cc.jpg",
"../images/ad690f59-42c11dc9-609bb394-37809e1b-d91c2652.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Left-sided pacer is again seen with three leads terminating over the expected location of the right atrium and right ventricle, respectively. Overall, cardiac and mediastinal contours are stable. There is diffuse air space process with more focal consolidation again seen in the left mid lung and at the lung bases. This is concerning for bilateral pneumonia/aspiration. In addition, the lungs remain hyperinflated and there is parenchymal distortion and apical bullous changes consistent with underlying emphysema. No pneumothorax is seen. There is blunting of the costophrenic angles which may represent chronic pleural thickening or small effusions. Heart remains enlarged most likely representing cardiomegaly. In addition, the perihilar vasculature is somewhat more prominent and indistinct which suggests a component of superimposed perihilar edema.",
"role": "assistant"
}
] |
[
"../images/d94ed77f-6e5dbc9e-c9b7dc36-fa289d86-2aed87f0.jpg",
"../images/32c1d55b-e82e8109-857245af-c7f729c8-050f2e67.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "In comparison with the study of ___, there is increase in the left upper lobe consolidation accompanied by increased prominence of pulmonary vessels consistent with elevated pulmonary venous pressure. There is a possible small pleural line that could be reflection of a small apical pneumothorax on the right, there is suggestion of a vessel running beyond this line in the far apical region, raising the possibility that this could represent merely a skinfold.",
"role": "assistant"
}
] |
[
"../images/8c50fc43-5d35a129-85112298-d3630da6-c38d6a1b.jpg",
"../images/c644ef55-2c1480c0-fa4e0e08-a92b5aa0-5b7ceb6c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Heart size is top-normal opacities in the upper lungs and at the left mid lung field are similar to previous study consistent with chronic areas of scarring with no new consolidations to suggest infectious process. No pleural effusion or pneumothorax has been demonstrated",
"role": "assistant"
}
] |
[
"../images/7c276a28-74265513-242b56ab-f7f75aee-b642742a.jpg",
"../images/690e5219-a0d2190e-2017488b-4a4feda7-4ef08c2d.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "In comparison with study of ___, there is little overall change. Substantial cardiomegaly with bilateral opacifications most likely reflecting pulmonary edema. The possibility of supervening pneumonia would have to be raised in the appropriate clinical setting. Central catheter remains in place. Slight impression on the lower cervical trachea on the right could possibly represent a small thyroid mass.",
"role": "assistant"
}
] |
[
"../images/3d0754cf-6b313d54-5c41bc32-9f042b6f-4f2f7051.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Superimposed pulmonary edema on a background of pulmonary fibrosis. Low lung volumes limit assessment for basilar consolidation.",
"role": "assistant"
}
] |
[
"../images/1d74ca1d-12ac2785-bd84a322-376f04bc-b9fdaa99.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to previous radiograph, the patient has been extubated. Otherwise, there is no relevant change. The bilateral massive parenchymal opacities are constant, constant moderate cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/5eae8395-ea7af71c-6d518498-6d193886-1c2d0853.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, there is unchanged evidence of moderate-to-severe pulmonary edema. However, the interstitial component of the edema is more prominent on the current image. The presence of a small pleural effusion cannot be excluded. Unchanged mild cardiomegaly. Unchanged position of the left pectoral Port-A-Cath.",
"role": "assistant"
}
] |
[
"../images/5fb4fd93-f41ffe10-432dff5b-080386a2-de609585.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "In comparison with the study of ___, the degree of pulmonary vascular congestion may have slightly decreased in this patient with continued substantial enlargement of the cardiac silhouette. The possibility of supervening interstitial lung disease is difficult to assess on plain radiograph, but was apparent on the CT study of ___. No acute focal pneumonia. Central catheter remains in place.",
"role": "assistant"
}
] |
[
"../images/2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Some improvement in still prominent pulmonary vascular congestion.",
"role": "assistant"
}
] |
[
"../images/2e5ac89a-e2d5d8c6-8cbf02bc-ec6e4725-9339a9cc.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "PA and lateral chest compared to ___: Heterogeneous pulmonary opacification has worsened in both lungs. This is largely pulmonary edema, but more focal abnormalities in the axillary portion of the left lung and at the right lung base could be concurrent pneumonia. In addition, chest radiographs from ___ suggest concurrent substantial interstitial lung disease. Mild-to-moderate cardiomegaly is stable. Endotracheal tube is no less than 2 cm from the carina, with the chin in neutral position. Care must be taken that it not advance inadvertently. A left subclavian infusion port ends in the right atrium. Dr. ___ was paged at the time of dictation.",
"role": "assistant"
}
] |
[
"../images/86d7a0e2-a6e5e874-ed2fed4c-1c2ffbf1-4f1621e3.jpg",
"../images/14e120dd-c09a8900-5ff950e9-0e2fe5bc-17cb2b3e.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral views of the chest were obtained. Cardiomegaly is mild, similar to prior. Prominent interstitial lung markings are compatible with known lung fibrosis. Indistinct pulmonary vascular markings are similar to prior and compatible with mild pulmonary edema. No focal consolidation, pleural effusion, or pneumothorax. The catheter of the left chest wall port terminates in the right atrium. Multiple vertebroplasties are similar to prior. No displaced rib fracture is identified.",
"role": "assistant"
}
] |
[
"../images/ffa27b68-fa32bc2b-9197ec90-33bf30ae-8bea837b.jpg",
"../images/cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Mild pulmonary edema superimposed on known lung fibrosis. Severe chronic cardiomegaly and pulmonary hypertension. No displaced rib fracture. Multiple vertebroplasties, similar to prior.",
"role": "assistant"
}
] |
[
"../images/ffa27b68-fa32bc2b-9197ec90-33bf30ae-8bea837b.jpg",
"../images/cbf70dce-197f82f4-7b8613a7-c0b0b099-d1de4726.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "There has been improvement in mild-to-moderate pulmonary edema with decreased interstitial markings compared to most recent prior study. Small bilateral pleural effusions have resolved. There is no focal consolidation or pneumothorax. Heart size is moderately enlarged and stable. A left chest wall Port-A-Cath terminates in the RA. The patient is status post multiple vertebroplasties.",
"role": "assistant"
}
] |
[
"../images/aef56b96-414318d0-e624a158-a88b719d-18fa9377.jpg",
"../images/fd8df0f3-08320e37-c337efdf-505d4348-76e89a9e.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Improved but not resolved mild-to-moderate pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/aef56b96-414318d0-e624a158-a88b719d-18fa9377.jpg",
"../images/fd8df0f3-08320e37-c337efdf-505d4348-76e89a9e.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "AP upright and lateral chest radiographs were obtained. Known interstitial lung disease contributes to a bilateral perihilar interstitial abnormality. In addition to the chronic findings there is bilateral ground-glass opacity and interstitial thickening, predominantly radiating from the hila. Cardiomegaly remains moderate. Aortic arch calcifications are unchanged. A right-sided PICC line terminates in the low SVC. A left chest Port-A-Cath terminates in the right atrium. Vertebroplasty changes are stable.",
"role": "assistant"
}
] |
[
"../images/91623d3d-e82bd37b-a89a94ab-6a69e4ac-8e679081.jpg",
"../images/58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "New pulmonary parenchymal abnormalities on top of chronic pulmonary fibrosis most likely represents pulmonary edema. Infection is less likely.",
"role": "assistant"
}
] |
[
"../images/91623d3d-e82bd37b-a89a94ab-6a69e4ac-8e679081.jpg",
"../images/58c735ba-cc7d2492-f290f622-154bc6f2-5fdc853c.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "In comparison with the study of ___, there is little overall change. Again there is substantial cardiomegaly with bilateral opacifications that most likely represent pulmonary edema. More focal opacification at the right base medially could represent a developing consolidation.",
"role": "assistant"
}
] |
[
"../images/d43639b5-bec0c47c-8415bea0-3a2f74e5-627c89d4.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest compared to ___ through ___: Feeding tube with a wire stylet in place passes into the stomach and out of view. Comparing today's examination with many chest radiographs since ___, it looks like there is a mild degree of pulmonary edema superimposed on chronic interstitial lung disease. Specifically, on ___ the interstitial abnormality is comparable to that on ___, whereas at other times there has been at least a component of acute pulmonary edema. Today, the findings are very similar to ___. Severe cardiomegaly and pulmonary vascular plethora are chronic. Left subclavian infusion port ends in the mid-to-low SVC. Pleural effusion, if any, is minimal and there is no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/397252c6-f7b6111e-367341df-b8fc523c-599cfcbd.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "New left-sided Port-A-Cath is seen entering the left subclavian and terminating within the right atrium and can be withdrawn 3 cm and still remains within the low SVC. There is stable mild-to-moderate pulmonary edema and stable small bilateral pleural effusions. Again seen are low lung volumes. Heart is stably enlarged. There is no pneumothorax. .",
"role": "assistant"
}
] |
[
"../images/aa76851a-342b6f60-4e4b51be-3a80fe61-92b39e20.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Left-sided Port-A-Cath placement, terminates within the right atrium. Can be withdrawn 3 cm and still remain within the low SVC.",
"role": "assistant"
}
] |
[
"../images/aa76851a-342b6f60-4e4b51be-3a80fe61-92b39e20.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral views of the chest were obtained. Left-sided Port-A-Catheter is similar in position, terminating at the cavoatrial/right atrial junction. Patient has diffuse increase in interstitial markings bilaterally consistent with patient's underlying history of chronic interstitial lung disease with likely overlying pulmonary edema improved since ___, but similar in appearance as compared to ___. No definite focal consolidation or pleural effusion. Multilevel vertebroplasties are seen along the thoracic spine, similar to prior.",
"role": "assistant"
}
] |
[
"../images/3ea6406a-214fd5a4-1e6e4b0e-195445b8-1ea913b3.jpg",
"../images/8213973a-4ae791c1-ff080394-69e53e74-8e6d3813.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Pulmonary edema superimposed on known lung fibrosis.",
"role": "assistant"
}
] |
[
"../images/3ea6406a-214fd5a4-1e6e4b0e-195445b8-1ea913b3.jpg",
"../images/8213973a-4ae791c1-ff080394-69e53e74-8e6d3813.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No acute intrathoracic process.",
"role": "assistant"
}
] |
[
"../images/638f2c7f-1ddfe2c3-062f8057-b3e8a5aa-17b03955.jpg",
"../images/b863ce69-7e0670b3-3c5a3a29-b96b7248-a616113c.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No evidence of pneumonia. Stable cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/d6051124-a16053dc-2b4ecb89-8e1a17a9-252c1e8f.jpg",
"../images/d570aba7-45a558d7-52f77673-704bdc98-85e97946.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Two images of the chest shows a small consolidation at the right base, most consistent with pneumonia. There are no other consolidations. There is no evidence of interstitial edema. There are no pleural effusions. The heart size is at the upper limits of normal. The mediastinal contours are normal. There are sternotomy wires in place.",
"role": "assistant"
}
] |
[
"../images/515cb0a1-2209cb99-b1f8292c-d6d6acc1-1533f233.jpg",
"../images/7b43b8ff-190d3ca9-03cfbbd3-45ad3d0d-72d06c1c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Consolidation in the right base is most consistent with pneumonia. Results were communicated with Dr. ___ at 11:10 a.m. on ___ via telephone by Dr. ___.",
"role": "assistant"
}
] |
[
"../images/515cb0a1-2209cb99-b1f8292c-d6d6acc1-1533f233.jpg",
"../images/7b43b8ff-190d3ca9-03cfbbd3-45ad3d0d-72d06c1c.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The previously seen right lower lobe opacification has decreased substantially. There has also been a mild decrease in the amount of vascular engorgement suggesting improvement in mild biventricular heart failure. In retrospect, given the rapid change, the opacification likely represented fluid overload. The heart size is at the upper limits of normal. The sternal wires are intact and midline. There is longstanding midline lucency in the manubrium and upper body is due to incomplete sternal fusion; there is no evidence of other incision complications. A PICC can be traced to the mid SVC.",
"role": "assistant"
}
] |
[
"../images/2cc38dd6-d1f5970f-055155bc-e9e8fccd-8ec98168.jpg",
"../images/29ab48f7-15a14464-5b7c1cc3-3ba3aa97-64ebc637.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. Mild improvement of pulmonary vascular congestion. 2. Less opacification at the right lower; no evidence of pneumonia on today's radiograph. Results were communicated with the surgery team by Dr. ___.",
"role": "assistant"
}
] |
[
"../images/2cc38dd6-d1f5970f-055155bc-e9e8fccd-8ec98168.jpg",
"../images/29ab48f7-15a14464-5b7c1cc3-3ba3aa97-64ebc637.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Portable upright view of the chest demonstrates low lung volumes. There is no pleural effusion or pneumothorax. Heart size is top normal. Hilar and mediastinal silhouettes are unchanged. There is perihilar vascular congestion. Interstitial markings are prominent, suggest possible mild interstitial pulmonary edema. Right-sided Port-A-Cath is stable position projecting over cavoatrial junction.",
"role": "assistant"
}
] |
[
"../images/3878f00f-4b737c96-dff939c5-2f24a10d-23db2293.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Pulmonary edema is mild and new since ___. Increased opacity at left lung base is either atelectasis and/or combination of atelectasis and edema. Left pleural effusion is presumed and small and is also new since ___. Heart size is normal. Cardiomediastinal silhouette is unremarkable. Mild-to-moderate atherosclerotic calcification is present in the aortic arch.",
"role": "assistant"
}
] |
[
"../images/6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Mild pulmonary edema and presumed small left pleural effusion, new since ___.",
"role": "assistant"
}
] |
[
"../images/6bad4c60-b2e3becf-a99801f7-aac3757c-2b669f35.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, there is complete resolution of the pre-existing pleural effusions. Unchanged moderate cardiomegaly without evidence of pulmonary edema. Small basal parenchymal scars but no evidence of recent pneumonia. Moderate tortuosity of the thoracic aorta. Calcified bronchial walls .",
"role": "assistant"
}
] |
[
"../images/edfd806e-5c672eea-1119d9d0-44c282a8-7c3d9730.jpg",
"../images/c1baa6ae-9d0ddcca-488ee34e-e6160d6d-658fb00f.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "There is a somewhat heterogeneous but generally diffuse mild interstitial abnormality suggesting slight pulmonary congestion. One of two views shows a slightly more confluent right upper lobe opacity of uncertain significance, quite vague, and there is also focal left infrahilar opacity. There is no definite pleural effusion or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/66cab843-95809cae-6a67db82-36faecab-8a75c30e.jpg",
"../images/234437dc-32485521-78bd0c1a-5997bd43-47401378.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Findings suggesting mild vascular congestion. More focal patchy right upper lobe and left infrahilar opacities of uncertain significance but possibly due to coinciding atelectasis or scarring. If developing infection is a clinical consideration then short-term followup radiographs could be considered.",
"role": "assistant"
}
] |
[
"../images/66cab843-95809cae-6a67db82-36faecab-8a75c30e.jpg",
"../images/234437dc-32485521-78bd0c1a-5997bd43-47401378.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Again seen is low position of the ET tube, 1.4 cm above the carina. The appearance of the lungs is unchanged. Right IJ line tip at cavoatrial junction is unchanged.",
"role": "assistant"
}
] |
[
"../images/0baf5e16-bb057c79-97a74dac-e4631d48-f99f01d7.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "There is mild cardiomegaly. The aorta is tortuous and calcified. The mediastinal and hilar contours appear unchanged. There is a similar mild interstitial abnormality with prominence of central pulmonary vascularity, suggesting mild vascular congestion. In addition, patchy streaky opacities in the right mid and lower lung suggest a background of minor scarring or atelectasis. Although evaluation is limited, there is no definite pleural effusion. No pneumothorax is demonstrated, although it is noted that the left lung apex is obscured by a flexed chin.",
"role": "assistant"
}
] |
[
"../images/e0f5b52f-7723f470-e1b422a4-73ef70cb-2a76d9c3.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Essentially stable findings suggesting mild pulmonary vascular congestion.",
"role": "assistant"
}
] |
[
"../images/e0f5b52f-7723f470-e1b422a4-73ef70cb-2a76d9c3.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, there is no relevant change. The extensive bilateral parenchymal opacities, bilateral pleural effusions, cardiomegaly, and basal atelectasis are unchanged. No new opacities. Unchanged monitoring and support devices.",
"role": "assistant"
}
] |
[
"../images/71472bea-4861bb4b-57725cca-447baed5-d7d18080.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Cardiac silhouette is mildly enlarged, and accompanied by pulmonary vascular congestion and mild interstitial edema. Patchy opacities persist at the bases, and likely reflect atelectasis. Followup radiographs may be helpful to exclude pneumonia in the appropriate clinical setting.",
"role": "assistant"
}
] |
[
"../images/d25f054a-e8199cdc-c669cb2e-ebcfb082-54c205b7.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The ET tube is still slightly low, 1.7 cm above the carina. Right IJ line tip is at the cavoatrial junction. There are bilateral pleural effusions, vascular plethora, patchy areas of alveolar edema. The overall impression is that of CHF and underlying infectious infiltrate cannot be excluded. Compared to the prior study, the fluid status is slightly worse.",
"role": "assistant"
}
] |
[
"../images/520be031-be2101c2-d3c096ac-08925edb-0177dee8.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The ET tube is low, 1.5 cm above the carina. There are increased lung markings bilaterally in this patient with known bilateral basilar atelectasis/infiltrate/aspiration. An IJ line tip is at the cavoatrial junction.",
"role": "assistant"
}
] |
[
"../images/f5694e30-74276190-ca787eed-b4262479-f73aec86.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Cardiac silhouette remains enlarged and is accompanied by persistent pulmonary vascular congestion and interstitial edema. Patchy bibasilar atelectasis also appears similar compared to the prior study.",
"role": "assistant"
}
] |
[
"../images/34058be0-81c50b36-9b2c0874-23eca60a-7789a943.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "There are lower lung volumes with secondary mild widening of cardiomediastinal silhouette. There is no pleural effusion, pneumothorax or focal lung consolidation. There are bibasilar opacities which are better seen on the subsequent CT abd, may represent aspiration or atelectasis.",
"role": "assistant"
}
] |
[
"../images/28a61df7-4fa64f79-11a7bc9c-789dd22b-171b52b3.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, there is no major change. The monitoring and support devices are in unchanged position. Small bilateral pleural effusions with evidence of relatively extensive bilateral probably atelectatic consolidations. Mild-to-moderate fluid overload. No newly appeared focal parenchymal opacities. Extensive calcifications and tortuosity of the thoracic aorta.",
"role": "assistant"
}
] |
[
"../images/f64708b2-5173902f-9397bc55-1a8502c8-8be61ec4.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest compared to ___. ET tube and right internal jugular line are in standard placements. Mild pulmonary edema has improved since ___. Moderate bilateral pleural effusion and moderate cardiomegaly are stable. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/f76c2a78-65248647-1c1b4bdf-9896fb2b-f5c2ab8d.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest compared to ___: Moderately severe pulmonary edema is worsening, accompanied by increasing small-to-moderate bilateral pleural effusions and progressive moderate-to-severe cardiomegaly. Right jugular line ends in the upper right atrium. ET tube is in standard placement. No pneumothorax. Thoracic aorta is heavily calcified and at least tortuous if not dilated, but probably not acutely changed.",
"role": "assistant"
}
] |
[
"../images/0d768fcf-0bb1bca1-eb1fe1d6-686b876b-675a2e95.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest compared to ___: Pulmonary vascular congestion, hilar enlargement and moderate cardiomegaly are longstanding. There is no pulmonary edema. Pleural effusions are small if any. Thoracic aorta is heavily calcified, tortuous and generally large, but there is no evidence of focal aneurysm or interval change. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/d093e190-64d95289-7b99a592-ca302be2-6987d800.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, there is unchanged evidence of bilateral parenchymal opacities, constant on the right and minimally improving on the left. Unchanged cardiomegaly and small bilateral pleural effusions. Subsequent areas of basal atelectasis. Unchanged position of the endotracheal tube and right-sided central venous access line.",
"role": "assistant"
}
] |
[
"../images/32ddd325-e5d324e2-d240150b-5c00c3f0-fadd7c83.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral views of the chest were obtained. There is a small right pleural effusion with some fluid seen tracking in the minor fissure and which may be partially loculated. Scattered patchy opacities projecting predominantly over the right lung raises concern for an infection, less likely asymmetric edema. There is left basilar atelectasis. The lungs are relatively hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. The cardiac and mediastinal silhouettes are relatively stable.",
"role": "assistant"
}
] |
[
"../images/bdaf4a42-459ff19b-d725de79-5f824931-917dc689.jpg",
"../images/d6ee29da-bcb41124-a58ef710-c184f244-9d677f90.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Since the prior examination there is little change. There is no evidence of pneumothorax. There is a moderate subpulmonic pleural effusion as better demonstrated on the prior lateral radiograph. There is a new small left layering pleural effusion. There are no new focal opacities concerning for pneumonia. Cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta. Heart size is within normal limits. Pulmonary vascularity is normal.",
"role": "assistant"
}
] |
[
"../images/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No evidence of pneumothorax. Little change in subpulmonic right pleural effusion as better demonstrated on radiographs from ___ a.m..",
"role": "assistant"
}
] |
[
"../images/ca220440-2b8510e6-fd0298b7-ab4fc422-434e558f.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "There relatively low lung volumes. There is increased opacity projecting over the right hemi thorax likely due to increased right pleural effusion with overlying atelectasis, underlying infectious process not excluded. Possible trace left pleural effusion. The cardiac silhouette is top-normal to mildly enlarged. Mediastinal contours are unremarkable. No pneumothorax is seen.",
"role": "assistant"
}
] |
[
"../images/32ec8188-8c334483-81cb6b13-428e8019-c0db3517.jpg"
] |
mimic_findings
|
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