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[
{
"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 monitoring and support devices remain in place. Continued substantial enlargement of the cardiac silhouette with bilateral pleural effusions, compressive basilar atelectasis, and moderate pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/f2b4864c-c60e842d-258889c6-61e08bca-a7990195.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 ___: Mild pulmonary edema is new. Opacification of the base of the left lung, accompanied by elevation of the left hemidiaphragm is substantially atelectasis, now accompanied by small pleural effusion. Followup advised to exclude developing pneumonia in this location from presumed aspiration. Heart size is normal. No pneumothorax. Right jugular line ends in the SVC.",
"role": "assistant"
}
] |
[
"../images/f6375332-e3c8491e-6a6b59ed-929cb010-d0f4ae4a.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 left pleural effusion has massively increased in extent. The effusion occupies approximately half of the left hemithorax and causes substantial basal atelectasis. On the right, a small-to-moderate pleural effusion has newly occurred. In the ventilated parts of the lung parenchyma, there is no evidence of pneumonia. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/222087fc-b3297c5c-72502065-cf9f3e90-6839efc7.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 ___: Mild interstitial pulmonary edema has worsened, moderate left pleural effusion has increased. No focal pulmonary abnormalities. Heart size is normal. ET tube and left internal jugular line are in standard placements. Nasogastric tube ends in the upper stomach. Esophageal manometer or temperature probe in place at the level of the carina. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/ea76870d-7fdf2c99-bec8634e-1362050a-edc3c8fd.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 ___ at 11:36 p.m. Examination centered at the diaphragm shows new nasogastric tube ending in the stomach. Lung bases show persistent small-to-moderate bilateral pleural effusion. Upper abdominal gas pattern is unremarkable.",
"role": "assistant"
}
] |
[
"../images/ea90382d-329c4f3b-73ff1b45-e7f3f9f7-63cd342d.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 mild pulmonary edema has improved, small bilateral pleural effusions have decreased, but left lower lobe atelectasis has worsened. Heart size top normal. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/7f267ae9-96a871a2-d6201f05-95d76d1d-0e0ce72b.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 extent of moderate bilateral pleural effusions and moderate pulmonary edema. Unchanged monitoring and support devices. Unchanged size of the cardiac silhouette. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/d714d837-b94d4724-3105ec18-ec20dde4-57c58bf4.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 right central line tip sits in the mid SVC. The cardiomediastinal contours are unchanged. The lungs continue to demonstrate mild bibasilar atelectasis. The previously described left pleural effusion has decreased. There is no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/241b6402-15f482d1-da524f5e-92653c29-84172d3d.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 atelectasis with decrease in left pleural effusion; no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/241b6402-15f482d1-da524f5e-92653c29-84172d3d.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": "Compared to the previous radiograph, there is mild increase in extent of bilateral pleural effusions. As a consequence, the retrocardiac atelectasis has also increased. Subtle signs indicative of mild fluid overload. No evidence of pneumonia. Unchanged right internal jugular vein catheter.",
"role": "assistant"
}
] |
[
"../images/9e19b295-e71b9051-60c1ff01-05a0e976-4e648e1d.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": "AP chest compared to 4:47 p.m. New endotracheal tube and left internal jugular line are in standard placements respectively. Small bilateral pleural effusion, left greater than right, unchanged over nine hours. Left lower lobe atelectasis, moderate-to-severe, unchanged. Possible destructive lesion, anterior aspect, right fifth rib is without correlation on recent abdomen CT. Suggest detailed rib views when feasible.",
"role": "assistant"
}
] |
[
"../images/6b7a4b0a-ce2140d6-7ef34e3e-a9fc1e34-d5db5dd4.jpg",
"../images/8b8058e3-2e73b083-ad0be703-248c6dde-e81698ed.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": "1) Small-to-moderate left effusion, less pronounced than on ___, with underlying volume loss. Underlying consolidation cannot be excluded. 2) Small-to-moderate right effusion. Convex appearance raises the question of loculated fluid. Please see comment.",
"role": "assistant"
}
] |
[
"../images/5938dc8c-6914ab03-cb2b6ff3-957fb03f-04f24b21.jpg",
"../images/fa5c2c86-57b8cf58-5048f948-41c9b32d-4f1a00c1.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": "An AP chest compared to ___ through ___: Left lower lobe collapse has improved. Moderate bilateral pleural effusion is present, stable on the left, increased on the right and there is a suggestion of new consolidation in the right lower lobe that could be a large pneumonia. Confirmation with conventional radiographs recommended when feasible. Dr. ___ was paged.",
"role": "assistant"
}
] |
[
"../images/c84df635-43b1c5bd-cbd8fd29-e41b2428-dae6a1b9.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": "Moderate-to-large chronic left pleural effusion, slightly increased compared to the prior study with persistent left basilar opacification, likely reflecting compressive atelectasis, though infection cannot be completely excluded.",
"role": "assistant"
}
] |
[
"../images/0beab5cd-dd1bb454-0df993cf-f3c0ae3d-8f0e0c27.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": "Sternotomy wires are unchanged. The heart and mediastinal contours are within normal limits and stable. There has been interval decrease in a left-sided pleural effusion with some persisting left basilar atelectasis. The right lung is clear. A line between the posterior aspects of the left third and fourth rib space is more compatible with a skin fold rather than the visceral pleura of the lung, so pneumothorax is not favored. However, given the recent instrumentation, if growing clinical concern for pneumothorax exists, short-interval followup may be considered.",
"role": "assistant"
}
] |
[
"../images/4639cd47-e73a89d3-48315552-a87979a8-7dd4f191.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 portable AP radiograph was provided. There is increased opacity at the right base which may be due to infectious process or aspiration. Rounded density projecting over the right ninth posterior rib is likely a nipple shadow and can be followed on subsequent radiographs. A chronic moderate-sized left pleural effusion is similar in appearance to the prior study. Overlying opacities are likely atelectasis. Cardiomediastinal silhouette is unchanged. Median sternotomy wires are intact.",
"role": "assistant"
}
] |
[
"../images/d423cd88-d0739c64-5212e268-96f30c3b-7bd9f6ae.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": "New opacity at the right base may represent infection or aspiration. Stable moderate left pleural effusion with overlying atelectasis.",
"role": "assistant"
}
] |
[
"../images/d423cd88-d0739c64-5212e268-96f30c3b-7bd9f6ae.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 single portable frontal upright view of the chest is provided. External pacing wires and electronics partially obscure the view. Moderate cardiomegaly is unchanged. Lung volumes have slightly increased. Mild pulmonary edema persists. There is no focal consolidation, large pleural effusion or pneumothorax. Sternotomy wires are noted.",
"role": "assistant"
}
] |
[
"../images/e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49.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": "Moderate cardiomegaly and mild pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/e4cb9fd1-a291ed0a-a3be1461-78de463c-57194e49.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 demonstrate a transsubclavian right atrial and ventricular pacer defibrillator leads in standard position with no pneumothorax, pleural effusion, or mediastinal widening. Lung volumes remain low. The heart is stably enlarged.",
"role": "assistant"
}
] |
[
"../images/c1badb19-12851ca1-44ca7736-fc1a9f08-bd287f01.jpg",
"../images/92b3ce9d-9a7bb494-1dec6d0b-93cf4386-82995e53.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": "ICD leads end in the right atrium and right ventricle. No evidence of bleeding or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/c1badb19-12851ca1-44ca7736-fc1a9f08-bd287f01.jpg",
"../images/92b3ce9d-9a7bb494-1dec6d0b-93cf4386-82995e53.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": "HEART SIZE IS ENLARGED, UNCHANGED. POST STERNOTOMY WIRES ARE STABLE. PACEMAKER DEFIBRILLATOR LEADS TERMINATE IN RIGHT ATRIUM AND RIGHT VENTRICLE, THE PACEMAKER IS LEFT-SIDED. MEDIASTINUM IS STABLE. BILATERAL INTERSTITIAL CHANGES AT THE NEED AND LOWER LUNGS APPEAR TO BE SLIGHTLY IMPROVED. NO PNEUMOTHORAX OR APPRECIABLE PLEURAL EFFUSION IS SEEN. PREVIOUSLY DEMONSTRATED MULTIFOCAL CONSOLIDATIONS HAVE SUBSTANTIALLY IMPROVED AND THE CURRENTLY SEEN CHANGES MIGHT POTENTIALLY REPRESENT THE SEQUELA OR PREVIOUS ALVEOLAR CONSOLIDATIONS.",
"role": "assistant"
}
] |
[
"../images/c6f1c4e9-f329ac22-634957fc-4f7f9884-fa9f9fc8.jpg",
"../images/7872b2d7-eb63bb18-ed6cf009-39cf263d-a2965d5b.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": "Allowing for differences in technique and projection, there has been little change in the appearance of the chest since the recent study of one day earlier. Widespread heterogeneous areas of consolidation continue to affect the right lung more than the left. There has been slight worsening in the right lung base with otherwise no relevant changes.",
"role": "assistant"
}
] |
[
"../images/dca8209b-bd3fa52c-e5ca606b-9a0cfd8f-006336b3.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 unchanged. At low lung volumes there is moderate cardiomegaly and mild fluid overload but no overt pulmonary edema. No pleural effusions. No visible pneumothorax.",
"role": "assistant"
}
] |
[
"../images/9a3cb956-6be6d465-3555e1c4-10913d77-7e86b041.jpg",
"../images/b92a4a75-b5345ec3-917fc5be-e7953fb5-d91be228.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": "As compared to the previous radiograph, there is a a mild increase in extent and severity of the pre-existing parenchymal opacities. Most likely, the opacities reflect a combination of pulmonary edema and pneumonia. Unchanged moderate cardiomegaly and normal alignment of the sternal wires as well as normal course of the pacemaker wires. There is unchanged blunting of the left costophrenic sinus, potentially resulting from a small left pleural effusion.",
"role": "assistant"
}
] |
[
"../images/b28c193b-b49d6d0c-3105d352-5dc8e17f-3d0e39cd.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": "AP view of the chest. A temporary pacemaker lead is unchanged and in appropriate position. Mild cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f.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": "Temporary pacemaker lead is in appropriate position. No acute cardiopulmonary process.",
"role": "assistant"
}
] |
[
"../images/8f34e6a7-a9a93480-381afaf2-33925be7-c183ae6f.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": "Right PICC line ends at mid SVC. Left-sided pacer defibrillator with leads through the left transvenous approach is seen to end in the right atrium, right ventricle, and coronary sinus. Minimal right basal atelectasis is unchanged. There are no other lung opacities of concern. Top normal heart size, mediastinal and hilar contours are stable.",
"role": "assistant"
}
] |
[
"../images/c54b631c-b7726bc9-2bb21f6f-25f9eee0-57a0d6a6.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 PICC line ends at mid SVC. Small bibasilar atelectasis is unchanged.",
"role": "assistant"
}
] |
[
"../images/c54b631c-b7726bc9-2bb21f6f-25f9eee0-57a0d6a6.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": "Severe infiltrative pulmonary abnormality, stable on the left, more coalescent on the right. This is probably diffuse pneumonia or pulmonary hemorrhage in a patient with emphysema. Heart size is large but indeterminate because heart borders are obscured by lung abnormality. Transvenous right atrial and right ventricular pacer defibrillator leads follow their expected courses. Small if not moderate bilateral pleural effusion is presumed. There is no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/c10a5364-1d030517-1045826d-0914fda6-b9c30acc.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": "Temporary pacemaker wire appears in appropriate position. Sternotomy wires and mediastinal clips are stable. The mild-to-moderate cardiomegaly is unchanged. No focal consolidation, pleural effusion or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/20ac90a4-87044528-f3284c7b-e22cd4ff-feeeb0df.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. Temporary pacemaker appears in appropriate position. Mild cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/20ac90a4-87044528-f3284c7b-e22cd4ff-feeeb0df.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 is severe extremely irregular opacifications of both lungs, more severe on the right, has improved since ___ at 02:52,. The nodular appearance of the lungs is probably due to severe peribronchial infiltration in the setting of emphysema. The interval improvement is more likely due to resolution of a component of pulmonary edema. Small left pleural effusion is presumed, but not significant. There is no pneumothorax. Heart is partially obscured and its size is indeterminate. Transvenous right atrial and ventricular pacer defibrillator leads follow their expected courses. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/ba5b5b5f-13d50976-7e931ab9-b5cae769-76a2d17e.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 ___: A right transsubclavian right atrial pacer and right ventricular pacer defibrillator leads in standard placements, no pneumothorax, pleural effusion or mediastinal widening. Previous mild pulmonary edema has improved, moderate-to-severe cardiomegaly has not. There may be a new small left pleural effusion. Conventional radiographs recommended when feasible for further evaluation.",
"role": "assistant"
}
] |
[
"../images/da0fe691-6fcfcca4-8246f750-cb8b78a2-eec222bc.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": "As compared to the previous radiograph, the bilateral parenchymal opacities have decreased in extent and severity. No new opacities. The lung volumes remain low. Borderline size of the cardiac silhouette. No larger pleural effusions.",
"role": "assistant"
}
] |
[
"../images/2807416a-1e2f3ee5-da0d8c38-d898df41-666df4df.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 persistent patchy opacification in the left mid and lower lung fields, unchanged from the prior exam. The right lower lung aeration has improved from the prior exam with resolution of the previously seen opacity. Multiple small nodules are seen bilaterally, consistent with the patient's known history of metastatic renal cell carcinoma. No new opacifications are present. There is no pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.",
"role": "assistant"
}
] |
[
"../images/6a3ffb5c-a406d8c7-ed1414d0-d1521e7f-48b48a9a.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. Improvement in right lower lobe aeration with resolution of previously seen opacity. 1. Persistent left mid and lower lung opacification. 2. Multiple pulmonary nodules, consistent with known history of metastatic renal cell carcinoma.",
"role": "assistant"
}
] |
[
"../images/6a3ffb5c-a406d8c7-ed1414d0-d1521e7f-48b48a9a.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 has been interval decrease in size of the left pleural effusion, which is now moderate in severity. Small right pleural effusion is present. Bilateral consolidations, more dense on the left, persist. No pneumothorax is seen. Extensive nodularity is consistent with known metastatic disease.",
"role": "assistant"
}
] |
[
"../images/def3b450-db2f7c7f-a082b686-800a5de0-6b74e997.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": "Interval decrease in size of left pleural effusion, which is still moderate in severity.",
"role": "assistant"
}
] |
[
"../images/def3b450-db2f7c7f-a082b686-800a5de0-6b74e997.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": "Stable appearance of pulmonary metastases, multifocal pneumonia, pulmonary edema, and right upper lobe collapse.",
"role": "assistant"
}
] |
[
"../images/90b4c51e-988eaab5-73361a58-408449bf-f3dfd10f.jpg",
"../images/43a707e7-f762b3ea-4b033501-64409bec-21b98cef.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": "Portable AP upright chest radiograph was obtained. Compared to the scout radiograph from a torso CT from ___, there is increased opacity in the left lower lung, concerning for worsening effusion and consolidation. Extensive nodularity in the lungs is compatible with known metastatic disease. Heart size cannot be assessed. Bony structures appear unchanged.",
"role": "assistant"
}
] |
[
"../images/17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12.jpg",
"../images/bceb45d9-799ac7a7-effd7ba0-71a61a33-92e4f08a.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": "Increasing opacity in the left lower lung, concerning for worsening consolidation and effusion. Extensive metastatic disease within the chest. Refer to subsequent CT for further details.",
"role": "assistant"
}
] |
[
"../images/17ff7369-20912497-3b539b61-9c4ace20-7dc7fa12.jpg",
"../images/bceb45d9-799ac7a7-effd7ba0-71a61a33-92e4f08a.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": "Comparison is made to previous study from ___. There is again seen an area of consolidation within the left mid and lower lung fields, stable. Bilateral pleural effusions are seen left greater than right and consolidation at the right base is also seen and stable. There is a left upper pleural-based mass which is stable.",
"role": "assistant"
}
] |
[
"../images/e4c886d4-4409c92a-132f068d-876bd033-0e8fd448.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 right upper lobe collapse and worsening pulmonary edema. This was discovered and called to Dr. ___ on ___ at 11:27 a.m. 2. Multifocal pulmonary opacities may represent pneumonia or hemorrhage. 3. Innumerable metastatic pulmonary nodules.",
"role": "assistant"
}
] |
[
"../images/25449c50-88b4c67a-5aab7423-4c477c4b-843d4f4c.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": "AP chest compared to ___ through ___: There is no pneumonia or pulmonary edema. Extensive intrathoracic malignancy includes scores of nodules of various sizes in the right lung which may have grown more numerous and enlarged over just a two-day interval. There is extensive bilateral hilar and mediastinal adenopathy and much larger confluent metastases in the left hemithorax with associated pleural thickening. There is no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/5d99dd54-b526167b-ecf0e625-a8664607-ffea3011.jpg",
"../images/d5bdde56-163d7da0-c0c9fbcd-b1e3b312-4ad7853c.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. In comparison with scout image from CT from ___, again seen is a large left perihilar mid-to-lower lung opacity which on the prior CT corresponded to innumerable pulmonary nodules, although superimposed infection cannot be excluded. Nodular opacities in the right lung to a lesser extent than on the right are again seen. There is blunting of the left costophrenic angle likely corresponding to pleural effusion and is also seen on prior CT.",
"role": "assistant"
}
] |
[
"../images/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg",
"../images/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.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 greater than right pulmonary opacities similar as compared to scout image from CT from ___, given differences in technique, although superimposed infectious process cannot be excluded. Slight blunting of the left costophrenic angle is likely due to small left pleural effusion.",
"role": "assistant"
}
] |
[
"../images/2dbe3e39-beef7811-9031988b-a6c7348b-c98a9ab6.jpg",
"../images/25c48dee-7755c1f3-3e5f2e03-54b0e004-4f3c5b00.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 lung volumes are normal. Mild cardiomegaly with tortuosity of the thoracic aorta. No current pulmonary edema. Minimal atelectasis at the right lung base but no evidence of pneumonia. No pleural effusions. Normal aspect of the mediastinal structures.",
"role": "assistant"
}
] |
[
"../images/14d22854-f75c9939-e36fa170-315d2ccb-2fc011e3.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. Interval extubation, removal of the nasogastric tube, removal of mediastinal drains and removal of left basilar chest tube. Right internal jugular central line has its tip in the distal superior vena cava, unchanged. 2. Persistent low lung volumes with patchy bibasilar opacities and a probable layering left effusion. These findings likely reflect compressive atelectasis. No pneumothorax is seen. Status post median sternotomy with stable postoperative cardiac and mediastinal contours.",
"role": "assistant"
}
] |
[
"../images/e973d1f1-67f0309d-c6f961a4-02eda522-e311557e.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": "In comparison with the earlier study of this date, there is little change. Specifically, no evidence of pneumothorax or displacement of pacer leads, which extend to the right atrium and apex of the right ventricle.",
"role": "assistant"
}
] |
[
"../images/68357b9a-c391fe0e-c46ceb11-56f5225f-0a5da9a3.jpg",
"../images/f3d55fb5-65898a76-c35f1782-805b2fd0-ffaa1772.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 has been placement of a left subclavian pacer with leads in the right atrium and apex of the right ventricle. No evidence of post procedure pneumothorax. The cardiac silhouette remains enlarged. The degree of pulmonary vascular congestion has decreased.",
"role": "assistant"
}
] |
[
"../images/54e6075a-d4d2c1d4-d742150c-7e4e64c8-f98b4179.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 is moderate pulmonary edema, but no pleural effusion or pneumothorax. Heart size is top-normal, stable. Mediastinal contours are within normal limits. Osseous structures are intact.",
"role": "assistant"
}
] |
[
"../images/9e0fc31a-ce25b7bc-30362279-d96a0c0c-f6d54e86.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 pulmonary edema without pleural effusions. 2. Top-normal heart size.",
"role": "assistant"
}
] |
[
"../images/9e0fc31a-ce25b7bc-30362279-d96a0c0c-f6d54e86.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 left perihilar region, there is a hazy opacification consistent with pneumonia. There is no pulmonary edema, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is elevation of the left hemidiaphragm, which is stable from the prior exam.",
"role": "assistant"
}
] |
[
"../images/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg",
"../images/9f97161d-4f4e1c49-31cdfb38-db08c1d7-26e0b833.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 perihilar pneumonia. Recommend followup radiographs after treatment to ensure resolution.",
"role": "assistant"
}
] |
[
"../images/dd9cfc23-b05701f2-26215d83-46297578-48e163ea.jpg",
"../images/9f97161d-4f4e1c49-31cdfb38-db08c1d7-26e0b833.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 IJ line with tip just crossing midline is again seen. There continues to be near-complete opacification of the left hemithorax. An air-fluid level is now seen with some improved aeration of the left upper lobe. The right lung is clear.",
"role": "assistant"
}
] |
[
"../images/f7004aaf-2d802820-6fb668c7-79ec741c-1147c01a.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": "Opacification of the left hemithorax is a combination of increasing pleural effusion and a presumed increasing atelectasis in the remaining left upper lobe. Cardiomediastinal contours are midline. There is probably a tiny residual left apical pneumothorax. The right lower lobe atelectasis has improved. Left IJ catheter tip is unchanged. Left chest wall subcutaneous emphysema has improved.",
"role": "assistant"
}
] |
[
"../images/d10aee8d-b58fd31c-ac3debb5-48dda89f-2765b3de.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 patient has had a prior left lower lobectomy. Since the prior exam, nodular pleural thickening encasing the left lung has increased at the expense of aeration of the left lung with stable elevation of the left hemidiaphragm. Central adenopathy in the left hilus and adjacent mediastinum has also progressed. The right lung is clear. Cardiomediastinal silhouette is unchanged.",
"role": "assistant"
}
] |
[
"../images/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg",
"../images/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.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": "Progression of left pleural and nodal metastases.",
"role": "assistant"
}
] |
[
"../images/5c89e63b-e57804d8-7f1819df-413feb15-01628ce4.jpg",
"../images/ef905e68-392ffa59-22123661-7afd32ae-30f983d5.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": "ET tube ends 4.1 cm above carina. The patient had a recent left lower lobe lobectomy with the chest tube that projects in upper hemithorax without any visible pneumothorax. Left pleural effusion is small if any. The lung volumes are low with mild mediastinal and cardiac enlargement. CONCLUSION: There is no pneumothorax. The patient had recent left lower lung lobectomy with usual change.",
"role": "assistant"
}
] |
[
"../images/b76a59ce-cd4c3882-2bf6437f-89cd9378-adc0be20.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 patient had left lower lobe lobectomy in ___. Expected stable surgical changes are seen in the left lung with volume loss and mild pleural thickening. There is no pneumothorax. The right lung is unremarkable. Mediastinal and cardiac contours are not enlarged. CONCLUSION: The exam is stable since ___ with expected changes after left lower lobe lobectomy.",
"role": "assistant"
}
] |
[
"../images/ed9e09e7-e22ee204-4a73ca03-dc121d89-5ca5a446.jpg",
"../images/49f44b9d-4268c0c6-464ec5c0-373d8bb5-b69eaa33.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 ___, there is some improved aeration in the medial aspect of the left lung. However, substantial opacification persists in this hemithorax. Right lung remains clear.",
"role": "assistant"
}
] |
[
"../images/240ac503-263c23a7-986ec4c8-17bf733c-143e5fd6.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 increasing opacity in the left hemithorax, likely reflecting post-surgical changes. Extensive gas collection in the soft tissues on the left is unchanged. Unchanged position of the left chest tube. The right lung and the cardiac silhouette are constant in shape, the right lung remains normal.",
"role": "assistant"
}
] |
[
"../images/8f427f0a-04f15d74-7d27eb04-930290b5-286d1642.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 upright chest radiograph demonstrates a known left hilar mass. There is no effusion, or definite pneumothorax. The cardiac silhouette and mediastinal contours are otherwise unremarkable.",
"role": "assistant"
}
] |
[
"../images/20d18a78-8f7cd753-628b5cf4-7d43c522-c3e8f53e.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 pneumothorax status post biopsy of known left hilar mass.",
"role": "assistant"
}
] |
[
"../images/20d18a78-8f7cd753-628b5cf4-7d43c522-c3e8f53e.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 continues to be elevation of the left hemidiaphragm with left effusion and an alveolar infiltrate in the left mid lung. However, overall the aeration on the left is much improved. The right lung is clear.",
"role": "assistant"
}
] |
[
"../images/da3efe68-9a328a1b-4d20e7f8-0152154a-e945badd.jpg",
"../images/827940e2-acbc328c-49961b5d-96769c94-d55af838.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 ___, there is continued opacification of most of the left hemithorax. Right lung remains essentially clear. Left IJ catheter again extends to the brachiocephalic vein close to the junction with the superior vena cava. The supraclavicular gas on the left is decreasing.",
"role": "assistant"
}
] |
[
"../images/968192ec-09ed8f86-65cb3129-91dbad60-4710e7fb.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 earlier in this date, there is little interval change. Substantial opacification of the left hemithorax persists with the right lung being essentially clear. No appreciable pneumothorax. Gas within soft tissues is seen in the supraclavicular level on the left. IJ catheter is unchanged.",
"role": "assistant"
}
] |
[
"../images/f636619c-a5d5b893-e807be46-77d7e8f9-26f324c7.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": "ET tube ends 4.5 cm above carina. NG tube is in the stomach, and left jugular line ends in upper SVC. There is no pneumothorax, and left chest tube is in unchanged position in upper hemithorax. Left upper lobe that was collapsed yesterday is more aerated and left lung pulmonary edema has significantly improved. There is some residual small basilar atelectasis and small pleural effusion, if any. Mild subcutaneous air has improved. Right lung is unremarkable. Mediastinal and cardiac contours are unchanged. CONCLUSION: Patient with recent left lower lobe lobectomy. Aeration and edema of remaining left upper lung has improved.",
"role": "assistant"
}
] |
[
"../images/1f903004-c567af33-c9cd797b-5d2e4942-f23b2ed3.jpg",
"../images/6f5d182a-b2c3bddf-246d41a2-17fe9e4f-8240e407.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": "Portable frontal chest radiograph shows no significant change in previously described left lung opacification and volume loss, compatible with collapse, with elevation of a probably paralyzed left hemidiaphragm. The right lung remains clear. Further evaluation with CT would provide a better evaluation of the airways to evaluate for cause of collapse.",
"role": "assistant"
}
] |
[
"../images/c76fb4a5-73d1b805-ea3945ae-5f50ad50-145ab073.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 a series of images from ___ and ___, there has been progressive decrease in the pleural fluid in the left hemithorax, though some persists. Elevation of the hemidiaphragm with mild shift of the mediastinum to the left is consistent with previous surgery. The right lung is clear and there is no vascular congestion.",
"role": "assistant"
}
] |
[
"../images/933e9d9c-77191c22-3fb042fe-3f825087-fa80fffa.jpg",
"../images/35b23c83-dd3843f8-b3df9c7a-694fec14-2972fec9.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": "Partial reexpansion of the left lung. Probable elevated left hemidiaphragm.",
"role": "assistant"
}
] |
[
"../images/fbad1142-d5b71f5c-b7c34de3-9e985bf2-02239890.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": "1) Small left apical ptx is unchanged, but ?small medial ptx vs pneumomediastinum along upper left lung medially. Subcutaneous emphysema has likely also progressed. 2) Interval improvement in left base opacity. Findings paged to the ordering house officer at approximately 4:10 p.m. on the day of exam. At approximately 7 pm, findings were discussed with covering house officer (___, phone).",
"role": "assistant"
}
] |
[
"../images/d26ea91b-a760f562-0b55d1f4-6dc8f3a5-fb983728.jpg",
"../images/c177928c-699001c4-7f0cb68c-de208759-e10a09ee.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": "1) Rapid progressive opacification of the left upper and mid lung, with evidence of volume loss and persistent left hemidiaphragm elevation. Clinical correlation is requested in this patient status post left lobectomy. 2) Difficult to determine whether a small pneumothorax or small amount of pneumomediastinum is still present. No fluid level detected to suggest hyrdropneumothorax. 3) Slightly displaced left posterior 6th rib fracture or osteotomy. Note is made that the patient is s/p thoracotomy. 4) Right lung clear except for mild vascular plethora and minimal basilar atelectasis. Ordering house officer paged ar approximately 2 pm on the day of the exam.",
"role": "assistant"
}
] |
[
"../images/2ec22655-129c4671-a80d926d-b80a6df1-8f1e5d31.jpg",
"../images/4c91821b-955decb6-08bf90f3-372970dc-45cb6ac2.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 demonstrate interval increase in opacification of the left chest, with interval increase in left hemidiaphragmatic elevation likely the result of phrenic nerve paralysis. There is minimal residual aerated left lung in this patient who is status post left upper lobectomy. The right lung is hyperexpanded and clear. The cardiac silhouette is not well assessed.",
"role": "assistant"
}
] |
[
"../images/78557a90-bc5812ac-af24ac90-bce0a937-28b47ee6.jpg",
"../images/bda73b0f-722050ba-df3d1eb0-12cf8c13-cb8cd31c.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": "Collapse of the remaining left lung with further elevation of a probably paralyzed left hemidiaphragm. Further evaluation with CT would provide a better evaluation of the airways and for the etiology of lung collapse. These findings were discussed with Dr. ___ ___ the MICU at 10am by phone.",
"role": "assistant"
}
] |
[
"../images/78557a90-bc5812ac-af24ac90-bce0a937-28b47ee6.jpg",
"../images/bda73b0f-722050ba-df3d1eb0-12cf8c13-cb8cd31c.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 is continued elevation of the left hemidiaphragm with left pleural abnormality, unchanged since the prior exam. There is no evidence of pneumonia, pneumothorax or pulmonary edema. The heart is top normal in size. CONCLUSION: No acute cardiopulmonary disease. Elevation of the left hemidiaphragm and left pleural abnormality which may represent either a loculated effusion or pleural thickening, is unchanged since prior exam.",
"role": "assistant"
}
] |
[
"../images/35f03094-59ac4913-db051de3-831383ad-860440fa.jpg",
"../images/19c665a6-5b2ac8ce-afabbb92-17bfdb7d-3db41a78.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 images of the chest demonstrate interval worsening of left lung opacity. The entire left hemithorax is now again opacified. Opacification is likely due to a large left pleural fluid collection in the setting of lobectomy versus less likely left lung collapse. There is persistent significant elevation of the left hemidiaphragm. The right lung is clear. There is no right pleural effusion. Cardiac size cannot be assessed due to obscuration by the left hemithorax opacification. The mediastinum is not shifted.",
"role": "assistant"
}
] |
[
"../images/3222a2cf-6873ed9e-fc3e4ac3-823db405-0dca9ce6.jpg",
"../images/02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44.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": "Interval increase in the opacification of left hemithorax, likely consistent with large left pleural effusion. Right lung is clear.",
"role": "assistant"
}
] |
[
"../images/3222a2cf-6873ed9e-fc3e4ac3-823db405-0dca9ce6.jpg",
"../images/02cab5e2-32c693a1-f28fc960-a42cc4a2-4d8d7c44.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 visualized is a stable right lower lobe opacity consistent with small to moderate right pleural effusion. Improved asymmetric edema is noted on the left. There is no evidence of new consolidation or pneumothorax. Cardiomediastinal silhouette remains stable. Osseous structures remain normal.",
"role": "assistant"
}
] |
[
"../images/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.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. Stable small to moderal right pleural effusion. 2. Improved asymmetric edema is noted on the left.",
"role": "assistant"
}
] |
[
"../images/96e29c8f-cbe25758-3c1d7c4e-4f3ed96e-857a1bc7.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 ___: Small-to-moderate left pleural effusion has increased slightly over the past several days. Moderate enlargement of the cardiac silhouette accompanied by mediastinal vascular engorgement is also slightly more pronounced. Pulmonary vasculature is engorged but there is no edema. Consolidation has been present without appreciable change in the left lower lobe since at least ___. Mediastinum widened at the thoracic inlet by a combination of tortuous vessels and mediastinal fat deposition. Right jugular introducer ends just above the junction with left brachiocephalic vein.",
"role": "assistant"
}
] |
[
"../images/23f0b24d-61c1f12c-eb2434aa-f6d2c69e-86a2cd20.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 continued enlargement of the cardiac silhouette. Pulmonary vascularity is mildly engorged but less prominent than on the previous study. Opacification at the bases with obscuration of the hemidiaphragms is consistent with bilateral layering effusions, more prominent on the left, with underlying compressive atelectasis. Central catheter tip again extends to the upper to mid portion of the SVC.",
"role": "assistant"
}
] |
[
"../images/2a9deecd-d9d8a426-f05473e7-fdb32742-09da1910.jpg",
"../images/f9b1c946-2770d2d6-e7a89dc5-0e3d42e2-77117240.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": "In comparison with the study of ___, the monitoring and support devices are unchanged. There is again prominence of the cardiac silhouette with some indistinctness and pulmonary vessels consistent with elevated pulmonary venous pressure. Calcified granulomas are again noted in the left mid lung.",
"role": "assistant"
}
] |
[
"../images/8d36f63d-6e725615-3f005c82-5e0213ba-13cc3761.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 PICC line tip is in the mid SVC. There is bilateral lower lobe infiltrates, left greater than right; bilateral pleural effusions, left greater than right; dense retrocardiac opacity and mild pulmonary vascular redistribution and alveolar infiltrate most marked on the right. Compared to the prior study, there has been some progression of the lower lobe infiltrates. The overall impression is that of CHF but an underlying infectious infiltrate cannot be excluded.",
"role": "assistant"
}
] |
[
"../images/827f0d63-8f046ac6-10747136-2c3bac93-b95d8a29.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": "ET tube tip is 4.8 cm above the Carina. NG tube tip is in the stomach. Left central venous line tip is at the level of mid SVC. Heart size and mediastinum are enlarged. Pulmonary edema has substantially improved since the prior study.",
"role": "assistant"
}
] |
[
"../images/42ca390f-5819f578-c74fd59e-a7561a1a-0040b454.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. Right internal jugular Swan-Ganz catheter with its tip in the right pulmonary artery, unchanged. Endotracheal tube has its tip at the thoracic inlet in satisfactory position. Nasogastric tube is seen coursing below the diaphragm. There is blunting of left costophrenic angle with some retrocardiac opacity likely reflecting a small effusion with patchy compressive atelectasis. Pneumonia cannot be entirely excluded. Improving with residual minimal interstitial edema. Left upper and mid calcified nodules likely reflect granulomata. No pneumothorax. Overall, cardiac and mediastinal contours are stable.",
"role": "assistant"
}
] |
[
"../images/11b1705d-30db94a7-a7782a30-f6fbb83d-d63373de.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 silhouette remains enlarged, accompanied by pulmonary vascular congestion. Interstitial edema has improved in the interval. Bibasilar atelectasis is again demonstrated, with improvement on the left. Bilateral small pleural effusions are also evident as well as multiple calcified granulomas in the left lung.",
"role": "assistant"
}
] |
[
"../images/996aed23-e2ca70b1-ece8d46f-47a6d9f9-dbb95bfe.jpg",
"../images/f81d607d-d297abbb-83eb3c46-290321ba-aaa66ba9.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 ___, 5:26 a.m. Severe cardiomegaly and mediastinal and hilar vascular engorgement persists but there has been very significant improvement in previous pulmonary edema, now only minimal, persisting at the base of the right lung. Small right pleural effusion is likely. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/b570093b-0dc0e880-c0006423-ad6a31ed-d87e89fa.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 ___: Previous pulmonary edema has not recurred. Mild-to-moderate cardiomegaly is stable, and there is no change in the configuration of the thoracic aorta to suggest dissection, although that diagnosis is not excluded by the stable appearance on conventional chest radiographs. No pneumothorax or pleural effusion is present.",
"role": "assistant"
}
] |
[
"../images/4fe86d2a-a88e414b-d58dd0c1-51340b76-e7353509.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 lung volumes have increased. The right internal jugular vein introduction sheath has been removed. The pre-existing right pleural effusion has completely resolved. On the left, however, the pre-existing pleural effusion persists and has minimally increased in extent. There are subsequent areas of retrocardiac and basal atelectasis. Borderline size of the cardiac silhouette. Two calcified lung nodules in the left apex.",
"role": "assistant"
}
] |
[
"../images/d3905d7d-0e7ed6e5-b6ec0f08-c5b5dcd8-ad786679.jpg",
"../images/ea54418c-e36750cc-060592a5-0239e442-40b57ba0.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 has been interval removal of a right-sided PICC line. The cardiac silhouette remains enlarged. There has been resolution of bilateral pleural effusions. Again visualized are two calcified left upper lobe granulomas.",
"role": "assistant"
}
] |
[
"../images/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg",
"../images/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.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. Resolution of bilateral pleural effusions. 2. Heart size remains enlarged. This could be indicative of cardiomyopathy or a pericardial effusion.",
"role": "assistant"
}
] |
[
"../images/a4bd2f3a-a3c90afb-3f7c121e-66e54970-cce28842.jpg",
"../images/d20291fc-8d626aa2-b3b2ef02-6f8b81ac-12f2432d.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 silhouette remains enlarged. Pulmonary vascular congestion has slightly improved and is more substantially improved compared to ___. Left retrocardiac atelectasis has slightly decreased in extent, and a small left pleural effusion is also slightly smaller compared to the prior study. Small right pleural effusion is not changed, and a minor area of opacity at the right base appears similar to the recent study but improvement compared to earlier radiographs. Calcified granulomas in left upper lobe are unchanged. No new areas of consolidation are evident to suggest an acute pneumonia.",
"role": "assistant"
}
] |
[
"../images/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg",
"../images/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.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 areas of consolidation to suggest a source of infection.",
"role": "assistant"
}
] |
[
"../images/4a94c799-50173f0e-07f9f74f-febe16d4-407387d6.jpg",
"../images/d1cb903c-16d23127-ba525151-91a0fa21-20a12246.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": "Left subclavian catheter tip is in the upper SVC. Mild to moderate pulmonary edema has increased. No other interval change from prior study.",
"role": "assistant"
}
] |
[
"../images/3398c38d-190a9992-bebb2e85-7ca0c527-214906cb.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 ___, 6:56 p.m.: Previous mild pulmonary edema has cleared from the right lung, improving on the left. Small left pleural effusion has increased. No appreciable right pleural effusion. Moderate cardiomegaly has improved. Tip of the endotracheal tube is no less than 4.5 cm above the carina, in standard placement. Swan-Ganz catheter ends in the right descending pulmonary artery and care should be taken that it not advance any further when it is not in the wedge position. Nasogastric tube passes into the distal stomach and out of view. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/135f90e3-562abed8-10d18797-fc0fc641-ea889ffb.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 endotracheal tube is seen appropriately positioned terminating no less than 2.5 cm above the carina. There are low lung volumes bilaterally with moderate pulmonary edema . Small quantity of bilateral pleural effusion is seen. Cardiomediastinal silhouette is somewhat obscured but is stable and within normal limits.",
"role": "assistant"
}
] |
[
"../images/f2a7f664-bfff0efe-5bb44ad4-469f58a4-0e6b7892.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": "Appropriately placed ET tube. Moderate pulmonary edema. These findings were reported to Dr. ___ at 4:55 p.m. via phone by ___.",
"role": "assistant"
}
] |
[
"../images/f2a7f664-bfff0efe-5bb44ad4-469f58a4-0e6b7892.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 right PICC has been placed with the tip terminating in the proximal right atrium, which should be retracted 2 cm to place in the low SVC. The inspiratory lung volumes are decreased. There is mild right basilar atelectasis. Calcified pulmonary granulomas are unchanged. There is no focal consolidation concerning for pneumonia, significant pleural effusion or pneumothorax. The pulmonary vasculature is not engorged. The cardiomediastinal and hilar contours are stable. No acute osseous abnormality is detected.",
"role": "assistant"
}
] |
[
"../images/d616d0a0-41025591-43cd391a-ee10bd11-29c865b3.jpg"
] |
mimic_findings
|
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