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[
{
"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 ___: Interval improvement in the severity of severe interstitial lung abnormality, at least in the left lung, is due to recent decrease in the component of reversible pulmonary edema, aside from severe pulmonary fibrosis. Right lung has not appreciably improved. Pleural effusions small if any. Moderate-to-severe cardiomegaly stable. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/bea5fb24-e1d13af2-d70b5be5-fb32e7b8-15828f56.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 the background of severe interstitial lung disease, which is predominantly reflected in fine reticulation of the lung periphery on each side, there are patchy superimposed opacities in the right upper lung as well as the left mid and lower lung worrisome for superimposed pneumonia. There is no pleural effusion or pneumothorax. The lung volume are again low. The cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique.",
"role": "assistant"
}
] |
[
"../images/d1476c64-942c69d1-01468aa0-5ba156c1-07f5abb4.jpg",
"../images/da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747.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 opacities worrisome for pneumonia superimposed on severe underlying interstitial lung disease; although recent prior radiographs are not available for comparison and progression of chronic lung disease could be considered as an alternative, acute superimposed pneumonia seems most likely.",
"role": "assistant"
}
] |
[
"../images/d1476c64-942c69d1-01468aa0-5ba156c1-07f5abb4.jpg",
"../images/da5580a4-d85e8eac-795ffec6-41e6d24b-273b3747.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": "Lung volumes are reduced. Diffuse interstitial opacities most pronounced within the periphery and lung bases with architectural distortion are unchanged compared to the previous chest CT and compatible with chronic interstitial lung disease, previously characterized as UIP or fibrosing NSIP. Previously noted hazy opacities in both lungs has resolved. No new areas of focal consolidation are demonstrated. There is no pulmonary vascular congestion, pleural effusion or pneumothorax. Mild degenerative changes are noted in the thoracic spine. The cardiac and mediastinal contours are unchanged.",
"role": "assistant"
}
] |
[
"../images/62cd4342-77a1737e-da11be7c-6914655a-20dc273b.jpg",
"../images/46b5b999-bd0dd08a-4756e4ca-de3d7098-494c0126.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 compatible chronic interstitial lung disease, previously characterized on chest CT as UIP or fibrosing NSIP. No new areas of focal consolidation or pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/62cd4342-77a1737e-da11be7c-6914655a-20dc273b.jpg",
"../images/46b5b999-bd0dd08a-4756e4ca-de3d7098-494c0126.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": "There are low lung volumes. Cardiomegaly and widened mediastinum are stable. Extensive interstitial reticular abnormalities larger in the left perihilar and left lower lobe region are grossly unchanged allowing the difference in inspiratory effort of the patient without evidence of new abnormalities pneumothorax or effusion. .",
"role": "assistant"
}
] |
[
"../images/b7af070d-78068621-15eff16b-a70624dd-db393d15.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. Low lung volumes are again noted. Chronic changes compatible with patients pulmonary fibrosis are noted. More severely affected areas seen at the bases, left greater than right. Cardiomediastinal silhouette is stable. No acute osseous abnormalities identified.",
"role": "assistant"
}
] |
[
"../images/38ea1228-340e5c29-16578c7c-9c80eaed-1bb35307.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": "Findings again compatible with patient's known pulmonary fibrosis without definite superimposed acute process, noting that subtle change would be difficult to detect based on a portable film.",
"role": "assistant"
}
] |
[
"../images/38ea1228-340e5c29-16578c7c-9c80eaed-1bb35307.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 and lateral views of the chest. Low lung volumes are seen compatible with patient's history of fibrosis. Diffusely increased interstitial markings are seen throughout the lungs, but these appear overall slightly worse when compared to prior. Cardiomediastinal silhouette is grossly unchanged. No acute osseous abnormality is detected.",
"role": "assistant"
}
] |
[
"../images/bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1.jpg",
"../images/15941772-4cd5498f-ccdb2ccb-80f7a7f0-af9b87e9.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 compatible with pulmonary fibrosis with likely superimposed edema. Please note that infection cannot be excluded and clinical correlation is necessary.",
"role": "assistant"
}
] |
[
"../images/bb795051-0e639ffa-dbded494-287ec2f7-1a213bd1.jpg",
"../images/15941772-4cd5498f-ccdb2ccb-80f7a7f0-af9b87e9.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": "Low lung volumes are again demonstrated. Chronic interstitial abnormality is again seen as well as more focal opacities within the left lung base, left perihilar region, and right upper lobe which are not significantly changed when compared to the prior exam. The cardiac, mediastinal and hilar contours are relatively unchanged with marked calcification of the aortic knob. No pneumothorax or large pleural effusion is demonstrated. The right PICC has been removed. Assessment of the pulmonary vascularity is limited.",
"role": "assistant"
}
] |
[
"../images/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.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": "Relatively unchanged appearance of the chest compared to prior exam. Persistent opacities within the right upper lobe, left lung base and left perihilar region are redemonstrated on a background of chronic interstitial lung disease which on the prior chest CT was thought to reflect UIP or fibrosing NSIP. As before, these more focal opacities may reflect progression of chronic interstitial lung disease, acute exacerbation of interstitial lung disease, or possibly infection.",
"role": "assistant"
}
] |
[
"../images/6a0e1f5d-e6e23298-495f2580-9ef21652-d843b243.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": "In comparison with the study of ___, there are somewhat better lung volumes. Continued enlargement of the cardiac silhouette with extensive parenchymal opacities bilaterally consistent with known fibrotic lung disease.",
"role": "assistant"
}
] |
[
"../images/a4d62fc4-613c998d-9a906778-5703a1a3-21507e30.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": "Lung volumes are low. Extensive bilateral opacities are unchanged from the prior examination and likely reflect the patient underlying severe interstitial lung disease. There is possibly increased opacification of the right lower lung, which may represent mild edema. Hilar and cardiomediastinal contours are unchanged. Calcification of the aortic arch is noted. There is no pneumothorax. There is no pleural effusion.",
"role": "assistant"
}
] |
[
"../images/bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90.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": "Minimally increased opacification of the right lower lung may reflect mild edema superimposed on chronic severe interstitial lung disease.",
"role": "assistant"
}
] |
[
"../images/bcb5e90b-c7d3f928-7bd202ee-4e772a8f-e2240e90.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": "Lung volumes remain low. Heart size is mildly enlarged but unchanged. The aortic knob is calcified. Diffuse parenchymal opacities with architectural distortion and bronchiectasis is re- demonstrate compatible with known chronic fibrotic lung disease, overall similar compared to the prior exam. No new areas of focal consolidation, pleural effusion or pneumothorax is seen. No pulmonary edema is demonstrated.",
"role": "assistant"
}
] |
[
"../images/13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c.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": "Relatively similar appearance of diffuse chronic chronic lung disease. No new gross focal consolidation identified.",
"role": "assistant"
}
] |
[
"../images/13b3f835-9d35e2fb-bef55a2d-4bf1a470-21b7626c.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": "Indwelling support and monitoring devices are unchanged in position, and cardiomediastinal contours are stable allowing for positional differences. Left retrocardiac atelectasis has improved, but an area of confluent increased opacity in the right infrahilar region is new. The latter may reflect atelectasis, aspiration, or developing infection.",
"role": "assistant"
}
] |
[
"../images/f1b12ac7-37699f77-a605ccbb-0eee65fd-e2f0351d.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": "Single AP portable chest radiograph is obtained. Tracheostomy tube is present. There is no pneumothorax or pleural effusion. There is a hazy veil-like opacity in the right upper lung zone which may be consolidation, atelectasis or artifact. Heart size appears enlarged; however, this may be technical due to AP view. Bony structures are intact.",
"role": "assistant"
}
] |
[
"../images/f2ea048e-52ada468-199a5a64-06f14cb3-76e57312.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": "Limited study with hazy opacity in the right upper and mid lungs which may be infectious in etiology, atelectasis or artifact.",
"role": "assistant"
}
] |
[
"../images/f2ea048e-52ada468-199a5a64-06f14cb3-76e57312.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": "Left PICC tip is seen terminating in the region of the distal left brachiocephalic vein. Tracheostomy tube is in unchanged standard position. The heart is moderately enlarged. Marked calcification of the aortic knob is again present. Mild pulmonary vascular congestion is similar. Bibasilar streaky airspace opacities are minimally improved. Previously noted left pleural effusion appears to have resolved. No pneumothorax is identified. Percutaneous gastrostomy tube is seen in the left upper quadrant.",
"role": "assistant"
}
] |
[
"../images/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.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": "1. Left PICC tip appears to terminate in the distal left brachiocephalic vein. 2. Mild pulmonary vascular congestion. 3. Interval improvement in aeration of the lung bases with residual streaky opacity likely reflective of atelectasis. Interval resolution of the left pleural effusion.",
"role": "assistant"
}
] |
[
"../images/0c69d156-6f5f3a89-7d361367-57f8c979-583ef198.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": "The patient is markedly rotated to his left limiting evaluation of the cardiac and mediastinal contours. The heart remains enlarged. There has been interval removal of the endotracheal tube with placement of a tracheostomy tube, which has its tip at the thoracic inlet. The right subclavian PICC line still has its tip in the distal SVC. A nasogastric tube is seen coursing below the diaphragm with the tip projecting over the expected location in the stomach. Patchy opacity in the retrocardiac region may reflect an area of atelectasis, although pneumonia cannot be entirely excluded. No evidence of pulmonary edema. No pneumothorax. Probable small layering left effusion.",
"role": "assistant"
}
] |
[
"../images/878341cc-7587aff2-e1f70246-3a29413e-36f37ddb.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 is compared to previous exam from ___. Tracheostomy tube is again noted. Left PICC tip is not clearly delineated on the current exam. Again there is mild pulmonary vascular congestion. Streaky opacities at the lung bases suggestive of atelectasis; however infection cannot be excluded. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.",
"role": "assistant"
}
] |
[
"../images/e279d10a-22b3d14a-0527c87a-bbd31c9b-de232422.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 significant interval change since prior. Pulmonary vascular congestion. Bibasilar opacities potentially due to atelectasis; however, infection is not excluded.",
"role": "assistant"
}
] |
[
"../images/e279d10a-22b3d14a-0527c87a-bbd31c9b-de232422.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": "Bedside upright AP radiograph of the chest demonstrates little interval change when compared to prior study performed 24 hours ago. There is minimal, stable enlargement of the cardiomediastinal contours consistent with mild chronic heart failure. Persistent obscuration of the pulmonary vascular markings in the right lung base is consistent with trace pulmonary edema. Bibasilar atelectasis is still present. The lungs are otherwise clear. There is no pneumothorax or pleural effusion. A left internal jugular central venous catheter, an endotracheal tube, and an orogastric tube are unchanged and appropriately positioned. The chronic findings of atherosclerotic calcification of the aortic arch and bilateral glenohumeral joint degenerative changes are once again noted.",
"role": "assistant"
}
] |
[
"../images/46258faf-c930aa13-1b09c523-4972126b-47bba114.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": "1. Mild chronic congestive heart failure with stable trace pulmonary edema at the right lung base. 2. Stable bibasilar atelectasis.",
"role": "assistant"
}
] |
[
"../images/46258faf-c930aa13-1b09c523-4972126b-47bba114.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": "The ET tube is 3.5 cm above the carina. The NG tube tip is off the film, at least in the stomach. Right IJ Cordis tip is in the proximal SVC. The heart size is moderately enlarged. There is ill-defined vasculature and alveolar infiltrate, right greater than left. This is markedly increased compared to the film from two hours prior and likely represents fluid overload.",
"role": "assistant"
}
] |
[
"../images/4c3c1335-0fce9b11-027c582b-a0ed8d89-ca614d90.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": "As compared to the previous radiograph, the monitoring and support devices are constant in position. The pre-existing right basal opacity, with maximum in the infrahilar area, is not substantially changed. On the left, there is decreased visibility of the left hemidiaphragm, suggesting the appearance of either atelectasis or small left pleural effusion. Unchanged moderate cardiomegaly. The right costophrenic sinus is unremarkable.",
"role": "assistant"
}
] |
[
"../images/f8e1f272-c87c4a00-60025a33-09d9a7ea-c1125ac6.jpg",
"../images/28c17b79-14a8e7a1-14591313-2a68d678-39106288.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": "Increased mild pulmonary edema and left basal atelectasis.",
"role": "assistant"
}
] |
[
"../images/9dcbd7ac-9d6ca173-f7e669fd-bb419597-97f58083.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 AP chest radiograph is obtained with the patient in the semi-erect position. Tracheostomy noted. Cardiomediastinal silhouette is unchanged; bulging of the pulmonary outflow tract reflects enlargement of pulmonary arteries and suggests underlying pulmonary arterial hypertension. Pulmonary edema has slightly improved compared to the prior study. Small right pleural effusion is unchanged. Again bibasilar opacifications are noted and are suggestive of atelectasis or consolidation.",
"role": "assistant"
}
] |
[
"../images/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.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": "1. Unchanged bibasilar opacities are consistent with atelectasis or consolidation and pneumonia should be considered in the appropriate clinical context. 2. Improved pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/2f8ca5e2-5a1e02ab-e84f7547-069743e9-0f08d9e0.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 ___: ET tube in standard placement. Nasogastric tube passes into the stomach and out of view. No pneumothorax. Leftward mediastinal shift suggests a new opacification at the base of the left lung is atelectasis. The right lung is clear. Left jugular line ends at the origin of the SVC.",
"role": "assistant"
}
] |
[
"../images/aebc8b32-83f9db36-e7859808-602b3b39-66bb2765.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": "1. Decreased left basilar consolidation with mild pulmonary edema. 2. Possible pulmonary arterial hypertension.",
"role": "assistant"
}
] |
[
"../images/046bbbe6-823f11ab-c43a868b-b3342241-8cf3254b.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 are no old films available for comparison. The heart is moderately enlarged. There is a right IJ Cordis with tip in the upper SVC. There is mild pulmonary vascular re-distribution, but no definite infiltrates or effusion.",
"role": "assistant"
}
] |
[
"../images/672a57a9-30dbdb02-4e0a1676-fbf127b4-e2f52011.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 study of ___, the PICC extends only to the left brachiocephalic vein before its junction with the superior vena cava. Continued low lung volumes may account for some of the prominence of the transverse diameter of the heart. Bibasilar opacification most likely reflects atelectatic changes. Possibility of supervening pneumonia would have to be considered in the appropriate clinical setting. The pulmonary vascular congestion is less prominent than on the prior study.",
"role": "assistant"
}
] |
[
"../images/2b68ac0e-611f3a5f-ddd4047f-97ef55a1-538b75df.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": "Comparison is made to the prior study performed two hours earlier. Interval placement of a nasogastric tube, whose distal tip and sideport are below the gastroesophageal junction. Endotracheal tube and right IJ central line are in unchanged position. There is persistent cardiomegaly. There is a left retrocardiac opacity. There is prominence of the pulmonary vascular markings, consistent with mild pulmonary edema. There is some atelectasis at the left lung base.",
"role": "assistant"
}
] |
[
"../images/95efb462-e05c1ac9-3c5319d6-bafdcede-df6db042.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 marked improvement in extent and severity of the pre-existing parenchymal opacities. Unchanged borderline size of the cardiac silhouette. No pleural effusions. The nasogastric tube has been removed. Endotracheal tube and the right internal jugular vein introduction sheath are in constant position.",
"role": "assistant"
}
] |
[
"../images/1b966ed7-06a3bfa3-fee1b692-81c9a0b7-7678b5ec.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 study of ___, the tip of the endotracheal tube now measures approximately 6.5 cm above the carina. Nasogastric tube again courses beyond the lower margin of the image in the distal stomach. The left hemidiaphragm is not as sharply seen and there is increased opacification in the retrocardiac region, consistent with volume loss in the left lower lobe and areas of plate-like atelectasis. Continued mild pulmonary vascular congestion.",
"role": "assistant"
}
] |
[
"../images/b0cabafd-224d8d46-c113bb88-27e041f4-2ecf273b.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": "Single AP portable view of the chest. No prior. The lungs are clear of large confluent consolidation. Cardiac silhouette enlarged but could be accentuated by positioning and relatively low inspiratory effort. Calcifications noted at the aortic arch. Degenerative changes noted at the glenohumeral joints bilaterally. Osseous and soft tissue structures otherwise unremarkable.",
"role": "assistant"
}
] |
[
"../images/053e0fdd-17dbee89-17885e49-08249a30-7f829c9c.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 definite acute cardiopulmonary process. Enlarged cardiac silhouette could be accentuated by patient's positioning.",
"role": "assistant"
}
] |
[
"../images/053e0fdd-17dbee89-17885e49-08249a30-7f829c9c.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": "An endotracheal tube, NG tube, and right upper extremity PICC with its tip at the cavoatrial junction are unchanged. There is no change in left lower lobe opacity. There is no large pleural effusion, or pneumothorax. The cardiac silhouette remains moderately enlarged, mediastinal contours are notable for calcification of the aortic arch.",
"role": "assistant"
}
] |
[
"../images/d6010cbd-efa41b72-2fbc0daf-8fa1dc40-bdd4fe35.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 residual retrocardiac opacification remains, pneumonia vs. atelectasis.",
"role": "assistant"
}
] |
[
"../images/d6010cbd-efa41b72-2fbc0daf-8fa1dc40-bdd4fe35.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": "A hazy opacity is present in the right lung which may represent aspiration, pleural effusion or hemorrhage. Retrocardiac opacity at the left base is unchanged. Moderate cardiomegaly is stable. Slight prominence of the pulmonary vasculature with cephalization and enlarged pulmonary arteries are consistent with mild pulmonary edema. Tracheostomy tube is in place. There are no displaced rib fractures.",
"role": "assistant"
}
] |
[
"../images/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.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": "1. Hazy opacity in the right lung which may represent aspiration versus pleural effusion or hemorrhage. 2. Mild pulmonary edema. 3. No displaced rib fractures.",
"role": "assistant"
}
] |
[
"../images/e35d7c70-3f278882-4f133ee9-184f4d7e-fa32a4d7.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 no relevant change. Monitoring and support devices are constant. Constant cardiomegaly with relatively extensive retrocardiac atelectasis and the potential presence of a small left pleural effusion. Mild pulmonary edema. Areas of atelectasis at the right lung base. No newly occurred parenchymal opacities. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/14ff31ea-afb9a3f3-fca0fe57-1fb4e5d4-9f537945.jpg",
"../images/befa8b27-2bfd96b0-d50f7eda-deffa4f9-dd7e7314.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": "Comparison is made to previous study from ___. There is an endotracheal tube whose distal tip is 6.2 cm above the carina appropriately sited. There is a left-sided IJ line with distal lead tip in the mid SVC. There is a nasogastric tube whose tip and sideport are below the GE junction. There is a persistent left retrocardiac opacity. There is some atelectasis at the left lung base. There is improved aeration at the right lung base. No pneumothoraces are seen.",
"role": "assistant"
}
] |
[
"../images/2c047cc5-4f33acea-462ae2cb-0d9a48d2-8906e8f9.jpg",
"../images/2d0d0dd1-758ad05c-5f33e8fa-08a1e0dc-63d862be.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": "Bilateral pleural catheters remain in place. Small residual apicolateral pneumothoraces are present, both decreased from the prior chest x-ray. Heart size remains normal. Bilateral pleural effusions and left basilar atelectasis are again demonstrated with slight improvement in aeration at the left lung base.",
"role": "assistant"
}
] |
[
"../images/3d8031cb-7f207914-fcd68ada-f9eb48e5-ec6ac11a.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, the known right pneumothorax is stable. On the left, there is no evidence of pneumothorax. The right pleural effusion has completely resolved. Normal size of the cardiac silhouette. Normal hilar and mediastinal contours.",
"role": "assistant"
}
] |
[
"../images/cbba1c1b-baa08812-9bf09668-f10eec71-d6c20e98.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, the patient has developed a right pneumothorax, the gap of the pneumothorax is about 3 cm large. There currently are no signs of tension. Right-sided pigtail catheter. On the left, a second pigtail catheter has been inserted. The catheter insertion caused a substantial decrease of the pre-existing extensive left pleural effusion. There is no evidence of left pneumothorax. The rightward mediastinal shift has completely reversed. Areas of atelectasis are seen at both lung bases. Normal size of the cardiac silhouette.",
"role": "assistant"
}
] |
[
"../images/387c76dd-5c98b144-ff773e04-8401a69c-e93e16d0.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": "Reoccurrence of right-sided pleural effusion in patient with history of pancreatic carcinoma. No radiographic evidence of CHF, cardiac enlargement or fluid overload.",
"role": "assistant"
}
] |
[
"../images/d471efcd-b9883de0-61154002-0ed78c74-1fe5a5e5.jpg",
"../images/cd4ebf22-1a0a69bf-b1e1a096-77c39a54-cefbd739.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": "Bilateral pigtail catheters are present at the lung bases. Moderate right apical pneumothorax has minimally decreased since yesterday. The maximum width at the apex measures 2.4 cm as compared to yesterday measuring 2.7 cm. Opacity at the right lung base which appeared on the yesterdays radiograph is more denser and is likely from an aspiration or atelectasis. Small right pleural effusion is unchanged.",
"role": "assistant"
}
] |
[
"../images/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.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": "1. Moderate right apical pneumothorax has very minimally decreased since yesterday. 2. Right lower lung opacity concerning for aspiration/atelectasis is more denser than before, though not increased in size. Small right pleural effusion is unchanged. No new left pleural effusion.",
"role": "assistant"
}
] |
[
"../images/827ee5d1-edb520dd-ec2cf0f6-5f7c165d-453421fb.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 is compared to previous exam from ___. When compared to prior, there has been significant interval enlargement of bilateral pleural effusions which are now moderate in size. Underlying airspace disease is also possible. Superiorly, however, the lungs are grossly clear. Cardiac silhouette is difficult to assess given the size of effusions. Osseous and soft tissue structures are unchanged.",
"role": "assistant"
}
] |
[
"../images/5644c5de-1ae5b48c-edb63079-e8230bfa-79dfbf13.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": "Significant interval increase in the bilateral pleural effusions since prior exam with possible underlying airspace disease not excluded.",
"role": "assistant"
}
] |
[
"../images/5644c5de-1ae5b48c-edb63079-e8230bfa-79dfbf13.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": "Pigtail pleural catheters remain in place bilaterally. Small bilateral apical lateral pneumothoraces have slightly decreased in size since the prior study. Small left pleural effusion is again demonstrated.",
"role": "assistant"
}
] |
[
"../images/08a8deab-aa27ad50-256fe6f1-21da6275-363a878d.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 right pleural effusion, the size of which is difficult to ascertain. There is unchanged bilateral lower lobe and right middle lobe collapse. The small left pleural effusion is unchanged. There is no pulmonary vascular congestion or pneumothorax. The cardiac and mediastinal contours are not well visualized.",
"role": "assistant"
}
] |
[
"../images/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg",
"../images/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.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": "Stable large right pleural effusion and increasing left pleural effusion. Feasibility of of thoracentesis would best be evaluated with decubitus films. Ultrasound guidance can also be considered.",
"role": "assistant"
}
] |
[
"../images/74ab0576-165250aa-5fedc1a0-3f75f2c6-9f87fa70.jpg",
"../images/3ba8fbbe-989e2f64-3cf29b67-e6b2c2c1-d0887a73.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 are compared to previous chest x ray from ___ and chest ct from ___. There is a large right lower lung opacity, compatible with pleural effusion. Given relatively mild mediastinal shift to the left, there must be components of atelectasis in the right lower and right middle lobes with possible superimposed consolidation. The right upper lobe is grossly clear. Small left pleural effusion is also seen; however, the left lung remains grossly clear. There is a rounded density projecting in the retrosternal clear space on the lateral. Cardiomediastinal silhouette is difficult to assess, however, is slightly shifted towards the left. Osseous and soft tissue structures are unremarkable.",
"role": "assistant"
}
] |
[
"../images/271ab9c9-419a0db3-215b585b-1c874aad-7c04a49d.jpg",
"../images/20f54ecb-20a32ed8-5f27bfe6-e9d07de1-ce76357e.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 large right-sided pleural effusion with underlying atelectasis and possible consolidation in the middle and lower lobes. CT scan may offer additional detail of underlying parenchymal abnormalities. Small left-sided pleural effusion.",
"role": "assistant"
}
] |
[
"../images/271ab9c9-419a0db3-215b585b-1c874aad-7c04a49d.jpg",
"../images/20f54ecb-20a32ed8-5f27bfe6-e9d07de1-ce76357e.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 has been removal of a large amount of left pleural fluid with reexpansion of the left lung. There may be a small apical pneumothorax. Large right effusion persists with underlying compressive atelectasis.",
"role": "assistant"
}
] |
[
"../images/e26bcba2-87e8c63d-e3b9b2c2-e679f9e8-0f3c295b.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": "Following pigtail catheter placement in the right lower chest, moderate right pleural effusion has near completely resolved. Moderate-to-large left pleural effusion associated with left lower lung atelectasis and mediastinal shift to the right side is unchanged. There is no pneumothorax. Obscured left mediastinal and the heart borders by pleural effusion limited assessment of the cardiomediastinal silhouette.",
"role": "assistant"
}
] |
[
"../images/a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91.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": "Folowing right pigtail catheter placement, moderate right pleural effusion has near completely resolved, whereas large left pleural effusion associated with passive collapse of adjacent lung and mediastinal shift to the right side is persisting. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/a1c0c58e-8c137d13-93b93845-da0433ee-9ccb3c91.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": "Interval decrease in size of right effusion, though a moderate to moderately-large right effusion remains. No pneumothorax detected.",
"role": "assistant"
}
] |
[
"../images/74563f2b-130e98d8-7c3f6d5a-d341b141-30042633.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 right pleural effusion has slightly decreased. On the left, however, a relatively extensive pleural effusion, occupying approximately one-third of the left hemithorax, has newly appeared. Subsequent areas of atelectasis. No pneumothorax or pneumonia. No evidence of pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/4a290ca1-4a62a5d5-96249a76-55141456-be7b08f4.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 bilateral pleural pigtail catheters are in unchanged position. The right pneumothorax has an unchanged dimension of approximately 1 cm. There is no evidence of tension. No other changes.",
"role": "assistant"
}
] |
[
"../images/bcfa89ae-4f7e4307-6bb629ee-15495f05-7e31cca0.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": "Portable AP chest radiograph demonstrates a stable right pneumothorax. There are several radiodense lesions along the left hemithorax that may represent skin folds. There is no definite left pneumothorax. There is opacification of the left thorax consistent with a moderate left pleural effusion. There is also new engorgement of the pulmonary vasculature in the left lung. There is slight shift of the mediastinum to the right. Bilateral pigtail drains are noted at the costophrenic angles. The heart size is within normal limits.",
"role": "assistant"
}
] |
[
"../images/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.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": "1. New left pleural effusion and slight mediastinal shift. Recommend obtaining PA expiratory films to exclude a left pneumothorax. 2. Stable right pneumothorax. Findings were discussed by Dr. ___ with Dr. ___.",
"role": "assistant"
}
] |
[
"../images/ebe51e24-5dfa5fed-d1e73cba-a113404b-93ffae17.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": "Bilateral pleural catheters remain in place, with persistent pneumothoraces, moderate left apical lateral pneumothorax on the left and small on the right. The left pneumothorax is unchanged, but right pneumothorax has minimally increased. Heart size remains normal. Persistent left basilar atelectasis and adjacent small left pleural effusion.",
"role": "assistant"
}
] |
[
"../images/df2895c4-f22e3845-5f1d5bff-ccd63f42-bf5e30eb.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 study of ___, there is a Pleurx catheter in place. No evidence of pneumothorax. Bibasilar opacification is consistent with atelectasis and effusion. Indistinctness of pulmonary vessels is consistent with elevated pulmonary venous pressure.",
"role": "assistant"
}
] |
[
"../images/05dad5f1-e33191fc-c4063ab8-15fcf471-3f82205d.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 mild-to-moderate left pneumothorax with rightward mediastinal shift more apparent than on portable chest radiograph at 2:26 p.m. The small right pneumothorax is stable. There is also a moderate left pleural effusion. Bilateral pigtail catheters are in place. The heart size remains normal. There is no focal consolidation.",
"role": "assistant"
}
] |
[
"../images/380fda55-d2283afd-511dcad7-803d3b6a-ed8c6b64.jpg",
"../images/8710a9ad-589288a8-7983c163-56388801-14daa160.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 mild-to-moderate left pneumothorax with mild rightward shift of the mediastinum. 2. Stable right pneumothorax. 3. Moderate left pleural effusion. The case was discussed by Dr. ___ with Dr. ___.",
"role": "assistant"
}
] |
[
"../images/380fda55-d2283afd-511dcad7-803d3b6a-ed8c6b64.jpg",
"../images/8710a9ad-589288a8-7983c163-56388801-14daa160.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 a mild decrease in extent of the right pneumothorax. The pneumothorax has now a dimension of approximately 1 cm. No evidence of tension. Unchanged position of the bilateral pigtail catheters in the pleural space.",
"role": "assistant"
}
] |
[
"../images/d0d4eac2-fe96ec0d-2ae1e81a-b604ed2b-3e55789f.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": "A dual-lead pacemaker implanted in the left chest wall has two leads terminating in the expected location of the right atrium and right ventricle respectively. Mild hyperexpansion is unchanged. A small right pleural effusion is new. There are no focal opacities to suggest pneumonia. Mild cardiomegaly is stable. The hilar contours and pulmonary vasculature appear normal. The mediastinal silhouette is unchanged. Tortuosity of the thoracic aorta is re-demonstrated.",
"role": "assistant"
}
] |
[
"../images/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg",
"../images/526cdb3f-f4ef95d2-68e47227-531a01e7-b3f4744c.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. Small right pleural effusion is new; however, there is no evidence of pneumonia and no other significant appreciable change. 2. Mild cardiomegaly is unchanged. The above results were communicated via telephone by Dr. ___ to Dr. ___ ___ at 2:45 p.m. as requested.",
"role": "assistant"
}
] |
[
"../images/e12e1dd7-9b6e4d27-63a06a72-937c9716-451f2db8.jpg",
"../images/526cdb3f-f4ef95d2-68e47227-531a01e7-b3f4744c.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": "Dual-lead pacer is seen with leads in the right atrium and ventricle as before. There is no pneumothorax or pleural effusion. Hyperinflation is again seen compatible with preexisting chronic pulmonary disease. Right middle and lower lobe opacities are redemonstrated without new lesions. There is a slight change in morphology with increased lucency of one of the more medial opacities. They are overall unchanged in distribution and as a whole slightly decreased in size. Cardiomediastinal silhouette and hilar contours are unchanged.",
"role": "assistant"
}
] |
[
"../images/47860d0e-7714c59f-fbe13df2-5e581eb8-60b60826.jpg",
"../images/2eb05c0b-30b37945-71fb6374-45cab675-82128ecc.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 basal nodules as a whole minimally decreased since the prior study. Differential for these lesions includes amiodarone toxicity and cryptogenic organizing pneumonia. While chest radiographs are likely suitable for monitoring for change over time, a baseline CT examination can be obtained to allow for better characterization.",
"role": "assistant"
}
] |
[
"../images/47860d0e-7714c59f-fbe13df2-5e581eb8-60b60826.jpg",
"../images/2eb05c0b-30b37945-71fb6374-45cab675-82128ecc.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 multifocal parenchymal opacities in the lower and middle lobes bilaterally, which given concurrent increased hepatic density from ___ to ___, could represent amiodarone-induced pulmonary toxicity. Differential would includes infectious processes in the proper clinical setting or organizing pneumonia. CT could be considered for further evaluation. This was discussed with Dr ___ at noon by Dr ___ on ___ via phone.",
"role": "assistant"
}
] |
[
"../images/9065147e-4fa65619-480eba86-8e159f3d-3d96acd4.jpg",
"../images/36d187c2-a2f1c238-25e77d89-19d5e8b8-ca837472.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 clear of consolidation, effusion, or pneumothorax. Left chest wall dual lead pacing device is again seen. Moderate cardiomegaly is again noted. Upper thoracic dextroscoliosis is seen. No acute fracture identified based on this nondedicated exam. Surgical clips seen in the upper abdomen.",
"role": "assistant"
}
] |
[
"../images/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg",
"../images/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.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": "Cardiomegaly without acute cardiopulmonary process.",
"role": "assistant"
}
] |
[
"../images/c979aaaa-4bb31072-c9884178-6e3ced8b-edf531fa.jpg",
"../images/e88fa460-a2901f48-730373f3-89be4f0a-89e6e2a9.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": "Marked improvement in right basilar opacities compared to ___.",
"role": "assistant"
}
] |
[
"../images/2661a129-f2f4b642-9b833ee7-ab398d55-07a36871.jpg",
"../images/17c56a39-e22f86fe-75387134-c9695d82-356794b0.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. Unchanged appearance of the left postoperative lung with decrease in size of the hemithorax. Unchanged opacities at the right lung base, potentially caused by atelectasis or, possibly, aspiration. Short-term further radiographic followup should be performed. No larger pleural effusions.",
"role": "assistant"
}
] |
[
"../images/eee70ea1-a4bb5ad0-eb92e7e6-ac788ab6-922f880b.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": "1. Postoperative appearance to left hemithorax is stable. There is a patchy opacity at the right base which could reflect a combination of a layering effusion with atelectasis, although an acute infectious process cannot be excluded. Overall, however, there is not significant interval change since ___. No pneumothorax. Cardiac and mediastinal contours is difficult to assess due to the postoperative state of the patient as well as patient positioning on the current examination. No evidence of pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/91612855-728b71c5-52138016-9cb33506-c5fc594e.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 engorgement has improved. There is no mediastinal widening. The heart is unchanged in size, probably mildly enlarged, but obscured by mediastinal fat deposition. The postoperative appearance of the left hemithorax including bulbous left hilus is also longstanding. Large scale atelectasis in the right lower lobe has also been a feature since mid ___, probably progressed to complete collapse. Tracheostomy tube in standard placement.",
"role": "assistant"
}
] |
[
"../images/f50a6967-0c476fd1-f6b7ff3a-5cdaaa5f-c072b628.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 is compared to previous exam from ___. Tracheostomy tube and postoperative changes of left upper lobectomy are again seen. Right basilar opacity silhouettes the right hemidiaphragm. Superiorly, the right lung is clear and appearance of the left lung is stable. Cardiomediastinal silhouette remains stable as do the osseous and soft tissue structures.",
"role": "assistant"
}
] |
[
"../images/33cbca42-cc8136d7-714fe7b7-c6fd6342-7bfbd4f1.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": "Right basilar opacity silhouetting the hemidiaphragm, possibly due to any combination of effusion, atelectasis or consolidation. Clinical correlation recommended. Two-view chest x-ray may also offer additional detail.",
"role": "assistant"
}
] |
[
"../images/33cbca42-cc8136d7-714fe7b7-c6fd6342-7bfbd4f1.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": "Right lower lobe opacity with volume loss, likely atelectasis, unchanged since the earlier study of ___.",
"role": "assistant"
}
] |
[
"../images/e7842e08-9ac5d312-a9c14d39-62df9f23-c7a94a70.jpg",
"../images/f1e6712c-61dabae0-6691539a-039dcbb7-6c467216.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": "Post left upper lobectomy changes, with no superimposed acute intrathoracic process detected.",
"role": "assistant"
}
] |
[
"../images/a7fdae9e-97d1a4d6-df3c7f40-29a51d88-39463d76.jpg",
"../images/ce354924-31b789c8-efd39b27-f2708902-84e7f064.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 ___ through ___: Moderate right pleural effusion is new, obscuring some of the right lower lung, but changing the contour of the lung base substantially since ___. Postoperative left hemithorax is unchanged following left upper lobectomy. Heart is partially obscured by postoperative contour changes. Right middle lobe collapse seen on lateral chest films, ___ and ___ and on chest CT, ___, presumably unchanged.",
"role": "assistant"
}
] |
[
"../images/b83a98a1-69ae5692-5fc5b2eb-140a525a-abf289ab.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 are obtained. Dual lead of left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle, unchanged. Patient is status post median sternotomy and aortic valve replacement, grossly stable. Again seen is blunting of the left costophrenic angle suggesting pleural effusion with overlying atelectasis. Underlying consolidation cannot be excluded. There is slight increase in opacity at the right lung base which may be due to atelectasis, although the appropriate clinical setting, early aspiration or pneumonia are not excluded. Surgical clips are again seen projecting over the lateral right upper hemithorax.",
"role": "assistant"
}
] |
[
"../images/46bd0776-78bcff84-5e4494eb-6f9c877a-a356af25.jpg",
"../images/1bc3d3de-cd13c1cd-ce13e61d-5191632c-e3ae7b5c.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": "1. Status post median sternotomy for CABG with stable cardiac enlargement and calcification of the aorta consistent with atherosclerosis. Relatively lower lung volumes with no focal airspace consolidation appreciated. Crowding of the pulmonary vasculature with possible minimal perihilar edema, but no overt pulmonary edema. No pleural effusions or pneumothoraces.",
"role": "assistant"
}
] |
[
"../images/7f6d7289-9941e757-2663be13-0dde50f8-5d2670aa.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 ___: Right pleural scarring is chronic. Lungs are clear. Cardiomediastinal silhouette is normal.",
"role": "assistant"
}
] |
[
"../images/44a2ba52-bf35cfa7-d309c49c-306c1f3e-ba524d4a.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 AP view of the chest is compared to previous exam from ___. The lungs are clear of focal consolidation. There is, however, persistent blunting of the right costophrenic angle, potentially due to pleural thickening especially in the setting of multiple prior healed right rib fractures. Cardiomediastinal silhouette is stable. No visualized free air below the diaphragm.",
"role": "assistant"
}
] |
[
"../images/234b22c4-55fb91a9-44f7a42f-b764d462-018d3bb9.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 acute cardiopulmonary process. No visualized free air.",
"role": "assistant"
}
] |
[
"../images/234b22c4-55fb91a9-44f7a42f-b764d462-018d3bb9.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 were obtained. Multiple right rib deformities are noted along the right lateral rib cage. Areas of pleuroparenchymal scarring are noted in the underlying lung. Otherwise, the lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures appear stable without definite signs of an acute fracture. No free air below the right hemidiaphragm is seen.",
"role": "assistant"
}
] |
[
"../images/22828c64-011878e3-cbd88035-2965e173-693deab2.jpg",
"../images/03da26e7-8b50eef0-1b7ebc08-6a620d75-b320cbc4.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": "Stable deformity along the right lateral rib cage. No acute findings.",
"role": "assistant"
}
] |
[
"../images/22828c64-011878e3-cbd88035-2965e173-693deab2.jpg",
"../images/03da26e7-8b50eef0-1b7ebc08-6a620d75-b320cbc4.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 ___: Previous right pleural effusion has cleared and moderate cardiomegaly has improved to mild. Lungs are clear. Hilar and mediastinal contours and pleural surfaces are unremarkable.",
"role": "assistant"
}
] |
[
"../images/80e284b5-fdeeb82c-1b888818-0881ac87-eeaaeffa.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": "Congestive heart failure, likely acute. Acute myocardial infarction should be ruled out as the cause of failure given patient's young age and acuity of presentation. The patient was transferred to the emergency department for further evaluation. Dr. ___ in the ED was contacted by Dr. ___ ___ telephone on ___ at 16:45.",
"role": "assistant"
}
] |
[
"../images/d978970a-5331f2f1-940f4bea-9da9bbf3-4724f2cf.jpg",
"../images/65691efb-7f4fd402-46d5effb-ad72d8a4-8f077398.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": "Dual-lumen dialysis catheter tip is in the right atrium. The previously noted left internal jugular line has since been removed. Moderate cardiomegaly is stable. Patient is status post median sternotomy with fractured median sternotomy wires which appear in disarray representative of sternal nonunion. Again visualized are small bilateral pleural effusions, greater on the right than the left with bibasilar atelectasis.",
"role": "assistant"
}
] |
[
"../images/02e0109a-820d6579-26cf0f89-4e81bca1-65cc007f.jpg",
"../images/a4398b56-ec603dc8-a33c3c3b-d4969bf3-6ae3e7b1.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. Small ilateral pleural effusions with bibasilar atelectasis. No focal consolidations. 2. Fractured and misaligned median sternotomy wires are stable, indicating chronic sternal nonunion.",
"role": "assistant"
}
] |
[
"../images/02e0109a-820d6579-26cf0f89-4e81bca1-65cc007f.jpg",
"../images/a4398b56-ec603dc8-a33c3c3b-d4969bf3-6ae3e7b1.jpg"
] |
mimic_impression
|
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