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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": "Right PICC terminating in the proximal right atrium should be retracted 2 cm to place in the low SVC. NOTIFICATION: The findings were discussed by Dr. ___ with Dr. ___ ___ telephone on ___ at 4:45 PM, during discovery of the findings.",
"role": "assistant"
}
] |
[
"../images/d616d0a0-41025591-43cd391a-ee10bd11-29c865b3.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 on the right has migrated slightly more proximally with the distal lead tip now in the proximal SVC. Heart size is within normal limits. There is a left retrocardiac opacity and a small left-sided pleural effusion. There is no signs for acute pulmonary edema or pneumothoraces. Calcified granulomas are seen within the left upper lobe.",
"role": "assistant"
}
] |
[
"../images/f0d18848-8b3b0e31-92ab7c89-0a569510-bac46a4e.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 above.",
"role": "assistant"
}
] |
[
"../images/f0d18848-8b3b0e31-92ab7c89-0a569510-bac46a4e.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 ET and NG tubes have been removed. A right PICC line terminates in the low SVC. Calcified left lung nodules are unchanged. The lungs are otherwise clear except for left basilar atelectasis. A small left pleural effusion has developed. Moderate cardiomegaly is unchanged.",
"role": "assistant"
}
] |
[
"../images/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg",
"../images/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.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 evidence of pulmonary edema. Increased small left pleural effusion. Stable moderate cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/a7d5115b-c9749937-8502636c-ce1d2580-57e370dc.jpg",
"../images/e3ee1499-119d0bc0-6cddf725-9d2d60d8-d34f9fc7.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 opacities at the right lung base have improved. The left lung base is unchanged. Overall, the signs indicative of pulmonary edema have slightly decreased in severity but they are still clearly present. Unchanged moderate cardiomegaly and left calcified lung granulomas.",
"role": "assistant"
}
] |
[
"../images/9911ed32-2bf726d7-dfcdceb1-dc248f4e-b62bb269.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 and mediastinal and pulmonary vascular engorgement have improved since ___. Small right pleural effusion has decreased. Lobar collapse has not recurred. Mild-to-moderate cardiomegaly is unchanged. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/cab19714-ab5c9c6b-9130cd3c-ca463b15-840b0cc4.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with pulmonary vascular congestion and bilateral pleural effusions with compressive atelectasis. Central catheter remains in place.",
"role": "assistant"
}
] |
[
"../images/b529320a-394d7b79-a3e8c3da-c28c6b94-7ec08b51.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest compared to ___ through ___: Moderately severe pulmonary edema has worsened again. The relatively greater opacification at the right lung base seen previously was due to a combination of edema, atelectasis and right pleural effusion, so it is not necessary to invoke possible pneumonia to explain the current radiographic findings. Moderate-to-severe cardiomegaly is chronic. Pulmonary vascular engorgement and distention of mediastinal veins have worsened. No pneumothorax. Large calcified granulomas longstanding in the upper lungs.",
"role": "assistant"
}
] |
[
"../images/42a56014-a47bf1c7-ea0611ef-536278b4-881a4f91.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 minimal decrease in extent of a pre-existing small right pleural effusion. Interstitial markings, on the other hand, are slightly increased, potentially reflecting increased interstitial fluid contents. Unchanged ___ of the cardiac silhouette. Unchanged basal areas of atelectasis, unchanged right venous introduction sheath. Also unchanged are left lung calcified granulomas. Overall, the findings indicate a mild increase in pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/45e31ec5-029d54e9-1acec167-663a1397-bccb2493.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. Extensive bilateral patchy pulmonary opacities. In the setting of central vascular congestion, this is most likely severe pulmonary edema, but pneumonia cannot be excluded, particularly at the left base. 2. ET tube terminating 4.7 cm above the carina. Orogastric tube within the stomach.",
"role": "assistant"
}
] |
[
"../images/e6b4a152-bc73f001-84e7b150-4191779a-754f8459.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": "Endotracheal tube and nasogastric tube remain in standard position. Swan-Ganz catheter has been slightly withdrawn, with tip terminating in the central right hilar region. Left sided catheter has been removed, with no visible pneumothorax. Cardiac silhouette remains mildly enlarged, but previously reported mild edema has nearly resolved. Bibasilar retrocardiac atelectasis is present with some improvement on the left, and small left pleural effusion is unchanged.",
"role": "assistant"
}
] |
[
"../images/90eaadd7-6de5ffd4-601d0a6b-6495e636-4f893187.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 a previous radiograph, the tube is still relatively high and could be advanced by 1 to 2 cm. Unchanged bilateral pleural effusions, unchanged moderate pulmonary edema and mild cardiomegaly. The nasogastric tube shows normal course.",
"role": "assistant"
}
] |
[
"../images/b9ff10af-33a535a6-4ffd1888-a0611f65-784a39da.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": "AP and lateral views of the chest. Low lung volumes. Two calcified granulomas in the left lung are unchanged. No focal consolidation or pneumothorax. There are small bilateral pleural effusions. Cardiomediastinal and hilar contours are stable. Degenerative changes are again seen in the spine.",
"role": "assistant"
}
] |
[
"../images/91ba091c-cee12c63-ff22dde9-147ea7bb-418900c4.jpg",
"../images/dc3b047f-54a16324-3e28091b-9d53d461-debc37f2.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Small bilateral pleural effusions.",
"role": "assistant"
}
] |
[
"../images/91ba091c-cee12c63-ff22dde9-147ea7bb-418900c4.jpg",
"../images/dc3b047f-54a16324-3e28091b-9d53d461-debc37f2.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 ___ and ___, 9:25 a.m.: Tip of the endotracheal tube is at the upper margin of the clavicles, 6 cm from the carina. It could be advanced 2 cm for more secured seating. Severe cardiomegaly is worse. Mild interstitial edema persists. Severe opacification of the left lower lung could be atelectasis and pleural effusion but raises concern for pneumonia. Pleural effusion, at least moderate on the right, is unchanged. No pneumothorax. Swan-Ganz catheter ends in the right pulmonary artery and a nasogastric tube passes below the diaphragm and out of view. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/552b9cdb-02b1e116-417a8a56-d2f54f1e-865a2a0c.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 upper and lower lobe opacities are new since the prior day, with indistinctness of the pulmonary vessels, suggesting pulmonary edema. However, concurrent pneumonia cannot be excluded, in the correct clinical setting. The right PICC line terminates in the lower SVC, and the ET tube terminates 4.5 cm above the carina. Unchanged calcified pulmonary granulomas in the left lung. No pneumothorax. Stable cardiomediastinal borders.",
"role": "assistant"
}
] |
[
"../images/98bf2cef-0c6a64e5-89934255-e10b6ef7-c38474b7.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 right upper and lower lobe opacities with indistinctness of the pulmonary vessels suggests pulmonary edema. However, in the correct clinical setting, concurrent pneumonia cannot be excluded. NOTIFICATION: The above findings were communicated via telephone by Dr. ___ to Dr. ___ at 16:21 on ___, ___ min after discovery.",
"role": "assistant"
}
] |
[
"../images/98bf2cef-0c6a64e5-89934255-e10b6ef7-c38474b7.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding portable chest examination of ___. Heart size is unchanged. Previously described moderate pulmonary congestive pattern with some upper zone re-distribution has normalized. Presently no evidence of pulmonary interstitial alveolar edema and the lateral as well as posterior pleural sinuses are free from any fluid accumulation. No pneumothorax in the apical area. No acute infiltrates. Lateral and posterior pleural sinuses are free. A previously described old calcified granuloma in the left upper lobe area is unchanged.",
"role": "assistant"
}
] |
[
"../images/dcd6fbb9-e2ec404a-8b19713d-5379757a-105c3803.jpg",
"../images/c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f.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 evidence of new acute pulmonary infiltrates.",
"role": "assistant"
}
] |
[
"../images/dcd6fbb9-e2ec404a-8b19713d-5379757a-105c3803.jpg",
"../images/c9bd6dd6-c8328950-4f61c412-81766efb-2d9c193f.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": "Cardiomediastinal contours are unchanged. Multiple calcified nodules throughout the lungs are unchanged. Otherwise The lungs are clear. The lungs are mildly hyperexpanded. There is no pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine.",
"role": "assistant"
}
] |
[
"../images/8c58ba80-5157991a-30a3a6c0-db670ba0-d1aee122.jpg",
"../images/31b151ec-75ddc4a9-e85ecaab-f72df771-c55ef3b5.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No acute cardiopulmonary abnormalities",
"role": "assistant"
}
] |
[
"../images/8c58ba80-5157991a-30a3a6c0-db670ba0-d1aee122.jpg",
"../images/31b151ec-75ddc4a9-e85ecaab-f72df771-c55ef3b5.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 cardiomegaly and widened mediastinum are unchanged. Pulmonary edema has markedly improved. Retrocardiac opacities have improved consistent with improving atelectasis and small left effusion. There is no pneumothorax. Lines and tubes are in standard position. calcified granulomas in the left upper lobe are again noted.",
"role": "assistant"
}
] |
[
"../images/957c26f1-18da168e-71c98f71-7f791b2a-4cb759cb.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 study of ___, the cardiac silhouette is mildly enlarged but there is no evidence of vascular congestion or pleural effusion. No definite acute focal pneumonia. Calcified granulomas are seen in the left lung and hilar region.",
"role": "assistant"
}
] |
[
"../images/84a95f3a-a7060282-499a7492-bc0c8ebd-3fb68b34.jpg",
"../images/5ebf3a98-2fdc1c16-d32e8ba7-94bde652-ea7da77c.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": "Swan-Ganz catheter has been advanced beyond the right hilum, and should be withdrawn for standard positioning, as discussed by telephone with Dr. ___ at 9:45 a.m. on ___. New airspace opacity distal to the catheter tip could potentially represent pulmonary hemorrhage, but other etiologies such as atelectasis or aspiration are also possible. Improving atelectasis in left lower lobe and persistent small left pleural effusion. Incidental calcified granulomas within the left upper lobe.",
"role": "assistant"
}
] |
[
"../images/a6ad44a0-61a41d41-a06153a4-5873c31d-f35069fa.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": "A right internal jugular central line ends in the upper SVC. The Swan-Ganz catheter has been removed. A new consolidation at the right base is concerning for possible pneumonia, aspiration, or less likely infarction. Small bilateral pleural effusions are stable. Calcified granulomas in the left mid lung zone are unchanged.",
"role": "assistant"
}
] |
[
"../images/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.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 basilar consolidation is most concerning for pneumonia or aspiration. Less likely, it may be infarction. 2. Stable small bilateral pleural effusions. 3. Mild enlargement of the cardiac silhouette is unchanged. Results were discussed with ___ at 11:20 on ___ via telephone by Dr. ___.",
"role": "assistant"
}
] |
[
"../images/b738cf47-6ae04cdf-25d11841-ddcb8d78-fe7feceb.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": "CHF with interstitial edema and bibasilar atelectasis, improved compared with ___.",
"role": "assistant"
}
] |
[
"../images/07a6c75c-9ee2bcc2-076307a1-e6000602-0ee483bb.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "PA and lateral chest radiographs were obtained. There is no change in the left pneumonectomy space which remains ___ full of fluid. More superior posterior appciyt may represent debris or clot. There is stable shift of mediastinal structures to the left. The right lung is clear and hyperexpanded. Mediastinal clips and left subcutaneous emphysema are unchanged.",
"role": "assistant"
}
] |
[
"../images/924f04a8-ef706b1d-71612b59-604998b0-d7de4f6b.jpg",
"../images/b3c74d2a-5af41aa3-b45b6c26-d2267e9d-7c4138ac.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": "Expected post-operative appearence of maturing pnuemonectomy space.",
"role": "assistant"
}
] |
[
"../images/924f04a8-ef706b1d-71612b59-604998b0-d7de4f6b.jpg",
"../images/b3c74d2a-5af41aa3-b45b6c26-d2267e9d-7c4138ac.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 patient is status post left pneumonectomy procedure with expected leftward shift of cardiomediastinal contours. Left chest tube has been removed. Pneumonectomy space remains predominantly air-filled with a small amount of fluid in the lower left hemithorax. Right lung is overexpanded and demonstrates linear atelectasis at the base. Subcutaneous emphysema in the left chest wall has slightly decreased from the prior study.",
"role": "assistant"
}
] |
[
"../images/a6a7fb04-b48fccde-ae205333-f958732f-5ef1f1ee.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 patient is status post left pneumonectomy procedure. There is expected leftward shift of the cardiomediastinal contours. Slight increase in amount of fluid in the lower left hemithorax, but majority of the pneumonectomy space remains gas-filled. Right lung is overexpanded, and note is made of linear atelectasis at the right base. Subcutaneous emphysema persists in the left chest wall.",
"role": "assistant"
}
] |
[
"../images/9d674775-c0b3be98-7ed72cdd-47852026-4ca978b4.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": "Expected left lung hyperlucency and volume loss. Slightly elevated left hemidiaphragm.",
"role": "assistant"
}
] |
[
"../images/4076e969-56f5b8aa-66ad39cc-833e7f03-cd0854e9.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. Ongoing filling of the left pneumectomy cavity with fluid. The position of the air-fluid level is comparable to yesterday's image. Unchanged position of the mediastinum. Unchanged appearance of the right lung. No evidence of pneumonia.",
"role": "assistant"
}
] |
[
"../images/49161810-83365478-dc512674-770d2cd4-ed6f7f77.jpg",
"../images/e625a910-d910e265-54f8f76c-13ce281a-e0b34c65.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 chest radiographs demonstrate complete collapse of the left lung with hyperexpansion of the right lung and marked shift of the mediastinum and trachea to the left. There is no pneumothorax. No pleural effusion is visualized.",
"role": "assistant"
}
] |
[
"../images/5be574b2-96a7ebd4-a3298eeb-effc88d8-ba38d5d0.jpg",
"../images/31d674c7-da219c63-72219f57-202ccfaf-94a9a6f6.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 lung collapse, highly suspicious for an obstructive mass. Further evaluation with CT chest or bronchoscopy is recommended. The results of this study were identified at 11:04 a.m. and relayed to Dr. ___ by Dr. ___ by phone at 11:09 a.m. on ___.",
"role": "assistant"
}
] |
[
"../images/5be574b2-96a7ebd4-a3298eeb-effc88d8-ba38d5d0.jpg",
"../images/31d674c7-da219c63-72219f57-202ccfaf-94a9a6f6.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. Endotracheal tube in standard position. No pneumothorax. 2. Multifocal opacities, most severe in the right upper lung, concerning for multifocal pneumonia.",
"role": "assistant"
}
] |
[
"../images/85904052-28d3a26a-9a756f5e-03c7a51b-3a9f5f19.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": "Endotracheal tube terminates 2 cm above the carina. Orogastric tube terminates in the stomach. Right internal jugular catheter terminates in the mid SVC. Lungs are low in volume with stable right upper lung opacities which are better assessed on the recent chest CT but suspicious for pneumonia. There is no pneumothorax or pleural effusion. Heart is normal in size. Normal cardiomediastinal silhouette.",
"role": "assistant"
}
] |
[
"../images/bbdcb05c-156dd562-ae7470ee-946facfc-07efcfcd.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. Satisfactory position of monitoring and support devices. Aside from ET tube which is 2 cm above the carina and can be slightly withdrawn. This finding was discussed with ICU RN ___ at ___ by phone on ___ by Dr. ___. 2. Unchanged right upper lung pulmonary opacities which could reflect pneumonia.",
"role": "assistant"
}
] |
[
"../images/bbdcb05c-156dd562-ae7470ee-946facfc-07efcfcd.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": "Endotracheal tube terminates 2.8 cm above the carina. Nasogastric tube terminates within the body of the stomach. Right internal jugular catheter ends in the lower SVC. Previously described right upper lung opacity is less conspicuous than on the prior. Bibasilar opacities are larger and could reflect atelectasis or an aspiration event. Worsening infection cannot be excluded. Small left pleural effusion is likely also present. The heart is normal in size, normal cardiomediastinal silhouette.",
"role": "assistant"
}
] |
[
"../images/d506da5a-b2dad80c-f31e282e-15154de3-b4385bea.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": "Slight improvement of right upper lung opacity with increased bibasilar opacities possibly reflecting atelectasis or aspiration though worsening infection cannot be fully excluded.",
"role": "assistant"
}
] |
[
"../images/d506da5a-b2dad80c-f31e282e-15154de3-b4385bea.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 portable view of the chest is obtained. Previously seen left juxtahilar opacity lateral to the fiducial seeds has decreased in size and persists since the prior study. No new focal consolidation is seen.There is prominence of the right hilum which is slightly increased since the prior study, which may relate to patient positioning, although underlying increased lymphadenopathy cannot be excluded. A left subclavian central venous catheter is again seen, unchanged in position. Cardiac and mediastinal silhouettes are stable. Chronic right chest wall deformity again seen.",
"role": "assistant"
}
] |
[
"../images/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg",
"../images/c875e4c8-ab736220-04569ba0-857889ce-042ea536.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. Left suprahilar opacity and fiducial seeds are again seen, although appears slightly less prominent/small in size, although as mentioned on the prior study, could be further evaluated by chest CT or PET-CT. 2. Right hilum appears slightly more prominent as compared to the prior study, which may be due to patient positioning, although increased right hilar lymphadenopathy is not excluded.",
"role": "assistant"
}
] |
[
"../images/070b58a0-da9b8080-6eeeaf5a-46226e7b-2f9453fa.jpg",
"../images/c875e4c8-ab736220-04569ba0-857889ce-042ea536.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 identified is a left juxta-hilar mass adjacent to a fiducial seed and a right hilar mass. Multiple other nodules are also identified but better delineated on recent CT. Otherwise, the lungs are without a focal consolidation or pneumothorax. A small right pleural effusion is noted. An overlying left subclavian central line is visualized in place. There is stable elevation of the left hemidiaphragm. No free air is noted in the abdomen.",
"role": "assistant"
}
] |
[
"../images/61b4d5e0-66a2bcaf-6c4d6c19-6b735e59-b1390cb2.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 consistent with known intrathoracic malignancy. No evidence of infection or other acute process.",
"role": "assistant"
}
] |
[
"../images/61b4d5e0-66a2bcaf-6c4d6c19-6b735e59-b1390cb2.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 study of ___, there has been reaccumulation of pleural fluid at the right base with underlying compressive atelectasis following apparent thoracentesis. No evidence of pneumothorax. The remainder of the heart and lungs are unchanged.",
"role": "assistant"
}
] |
[
"../images/aca81df9-48e4740a-3c8dacee-279de214-789076c5.jpg",
"../images/32a7d189-41a4b4a2-2cbe2e58-67f6823b-94d7cb9b.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Heart size is mildly enlarged, unchanged. Mediastinal silhouette is unchanged. Right lower lung linear opacities are most likely consistent with areas of atelectasis with no evidence of definitive infectious process demonstrated. Substantial kyphosis degrades the quality of the lateral view. Pleural thickening is suspected. If clinically warranted, correlation with chest CT might be considered",
"role": "assistant"
}
] |
[
"../images/76e43495-5184cc86-d65d1f6f-f8db85fd-87194262.jpg",
"../images/97a75129-d39c5832-904e9f3a-3f98ba5f-9f23cd4a.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 atelectasis with a small associated effusion, better assessed on concurrent CT.",
"role": "assistant"
}
] |
[
"../images/1e2bf7fd-0332021c-5954e527-9aef62e8-221c5e82.jpg",
"../images/b5ba8da0-31b932cf-ce8505a8-183cf855-29f186d7.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 little change in the appearance of the moderate right and small left pleural effusions with compressive atelectasis in this patient with radiographic evidence of chronic pulmonary disease as well as previous CABG procedure. No evidence of acute focal pneumonia or vascular congestion.",
"role": "assistant"
}
] |
[
"../images/efd0789f-b4442557-7615381a-90c81729-a1a5d27d.jpg",
"../images/a6a6000b-26fecffe-b90ded19-73b8a48f-6e3f7557.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 endotracheal tube sits 4 cm above the carina. A right-sided IJ central line tip sits in the upper SVC. The endogastric tube side port sits well below the GE junction. Three cerclage wires project over the lower cervical spine. The heart size is within normal limits. The mediastinal and hilar contours are normal. The lungs demonstrate minimal plate-like atelectasis in the superior portions of the bilateral lower lobes. There is no large pleural effusion or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/565704ba-15b1f276-8b2cb4d4-45b87f43-ac9aae54.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": "Minimal bilateral atelectasis, but no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/565704ba-15b1f276-8b2cb4d4-45b87f43-ac9aae54.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 ___: Endotracheal tube is in standard placement. The status of the upper airway cannot be assessed by conventional radiographs with an endotracheal tube in place. At best, CT scanning might be helpful. Heart size is normal though increased today relative to ___. New opacification at the left lung base is probably atelectasis. Right apical pleural tube still in place. No appreciable pneumothorax or layering effusion. A triangular opacity in the region of the right pleural tube could be fissural pleural fluid.",
"role": "assistant"
}
] |
[
"../images/be5abf2d-532464c2-7ec963e5-0b5da9f9-fa74529e.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 bibasilar opacities, which given the clinical history are suspicious for aspiration, possibly developing pneumonia.",
"role": "assistant"
}
] |
[
"../images/7befa7d6-9faf5ce7-987928ab-7b81ed09-d8eb8af7.jpg",
"../images/f27661c7-7cd1d2eb-6116d719-a906e894-7623f8b4.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 ___: No reaccumulation of right pleural effusion or pneumothorax following right thoracentesis, apical chest tube in place. Plate-like atelectasis persists on the left side. There may be a new small left pleural effusion. Upper lungs clear. Normal cardiomediastinal silhouette. ET tube in standard placement. Nasogastric tube passes into the stomach and out of view.",
"role": "assistant"
}
] |
[
"../images/15f548b3-d35c3f3c-1dd660a9-9f5dd882-d95e39c2.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": "Again seen is a large right hydropneumothorax without evidence of tension, mostly unchanged from the prior radiograph. There is slightly improved aeration of the right middle and lower lobes. The cardiomediastinal silhouette is normal. The left lung is clear.",
"role": "assistant"
}
] |
[
"../images/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg",
"../images/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.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. Stable large right hydropneumothorax without tension. 2. Improving aeration in the right middle and lower lobes.",
"role": "assistant"
}
] |
[
"../images/f92519c3-962b5ff5-70443417-be79d943-b7960f01.jpg",
"../images/6d9766ff-d338bb04-cdbfb5a8-a6aefc8e-d28602a0.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 small right apical and basal pneumothorax persists but is significantly decreased than on the prior study. A right Pleurx catheter is in place and right pleural effusion has significantly decreased. There is no left pleural effusion. Again seen is opacity in the left lung peripherally which corresponds to findings seen on recent chest CT. There is no focal consolidation. Opacity at the right base is likely atelectasis. Cardiomediastinal silhouette is stable.",
"role": "assistant"
}
] |
[
"../images/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.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": "Improved right pneumothorax which is now small. Resolved right pleural effusion.",
"role": "assistant"
}
] |
[
"../images/7d02f691-c9e983ff-b7685488-825c036a-ebf5e8eb.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": "Single portable view of the chest is compared to previous exam from ___. As on prior, low lung volumes are seen. Within this limitation, the lungs are grossly clear. Linear opacity at the right lung base is suggestive of subsegmental atelectasis. Cardiomediastinal silhouette is stable. Dual-lead pacing device is again seen. Degenerative changes seen at the right glenohumeral joint. Surgical clips seen in the right upper quadrant.",
"role": "assistant"
}
] |
[
"../images/3821a16d-3dd0338c-8485c8e1-c3cfcd50-05762b8b.jpg",
"../images/861f9946-68cebd2f-e11dbfba-aaad1909-7ccc759e.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No acute cardiopulmonary process based on this limited, portable examination.",
"role": "assistant"
}
] |
[
"../images/3821a16d-3dd0338c-8485c8e1-c3cfcd50-05762b8b.jpg",
"../images/861f9946-68cebd2f-e11dbfba-aaad1909-7ccc759e.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": "No acute cardiopulmonary process.",
"role": "assistant"
}
] |
[
"../images/417d5c5e-b521f965-35306684-68e7deb2-cda06f5c.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 ___: Severe cardiomegaly and pulmonary vascular congestion have increased, exaggerated by low lung volumes. There is no pulmonary edema or pneumonia. Vascular deficiency in the lung apices, particularly the right suggests emphysema. Transvenous right atrial and left ventricular pacer and right ventricular pacer defibrillator leads are unchanged in their respective positions. ET tube in standard placement. No pneumothorax or appreciable pleural effusion.",
"role": "assistant"
}
] |
[
"../images/fab6875e-e58537aa-922ded04-7be27ddc-15a63067.jpg",
"../images/396c7992-68232c77-c46b2942-5bf57cda-aab4c1b4.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": "A small region of new opacification has developed at the lateral aspect of the right middle lobe. This could be early pneumonia. Lung volumes remain severely low, particularly the right lung above the elevated right hemidiaphragm which obscures a substantially consolidated right lower lobe, suffering from collapse or pneumonia P the condition of the left lower lobe is similar and. All of the basal pulmonary abnormalities have developed since ___. Moderate cardiomegaly is stable. Pleural effusions are presumed, but not substantial. Right internal jugular line ends close to the inferior cavoatrial junction. Transvenous atrial biventricular pacer defibrillator leads are continuous from the left pectoral generator, and unchanged. There is no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/4d837b55-e381fd19-f31d9007-733a21e2-276bf002.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": "A left pectoral pacemaker is unchanged with three leads in the right atrium, right ventricle, and coronary sinus, as before. There has been interval removal of the endotracheal tube from ___. The cardiac silhouette remains severely enlarged. Partial calcification of the aortic knob is redemonstrated. The mediastinal contours are unchanged. There is no pulmonary vascular congestion or interstitial edema. A moderate right pleural effusion is appreciated on the lateral view with mild right basilar atelectasis. There is no left pleural effusion. No pneumothorax is seen. Diffuse dense calcification of the abdominal aorta is noted.",
"role": "assistant"
}
] |
[
"../images/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg",
"../images/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. No pulmonary edema/vascular congestion. 2. Moderate right pleural effusion and mild right basilar atelectasis.",
"role": "assistant"
}
] |
[
"../images/fd5b9e84-06d9a995-0dd4904b-a46b13dd-37b8e1f1.jpg",
"../images/252da14d-35e528cc-fd8defb9-1ba9e403-6b8cd31c.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 nasogastric tube has been removed. The lung volumes remain extremely low and areas of friable extensive atelectasis are seen at both lung bases. There is no pulmonary edema and no larger pleural effusions are visualized. Mild cardiomegaly. Unchanged position of the left pectoral pacemaker.",
"role": "assistant"
}
] |
[
"../images/465880ed-ec1f9352-286bce36-cb6b9286-50c2af29.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": "Triple-lead left-sided AICD is again seen with leads extending to the expected position of the right atrium, right ventricle, and coronary sinus. The lead extending to the coronary sinus, the distal aspect of which is partially obscured by the overlying battery pack. There are extremely low lung volumes that accentuate the bronchovascular markings. The left lung base is obscured by patient's overlying battery packs and not well evaluated. Right basilar atelectasis is seen. There is blunting of the right costophrenic angle, which may be due to small pleural effusion. Aortic knob calcification is again seen. The cardiac silhouette is grossly stable. There is gaseous distention of the stomach and possibly the colon.",
"role": "assistant"
}
] |
[
"../images/6b246587-087f7413-b47b8a33-a9e5c257-20aaf460.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": "Suboptimal evaluation of the left mid to lower lung due to overlying battery pack. If this is areas of high clinical concern, consider repeat with re-positioning of the patient. There are extremely low lung volumes. Right basilar atelectasis is seen. Blunting of the right costophrenic angle could be due to small pleural effusion. Gaseous distention of the stomach and possibly of the bowel.",
"role": "assistant"
}
] |
[
"../images/6b246587-087f7413-b47b8a33-a9e5c257-20aaf460.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": "Mild pulmonary edema with probable small bilateral pleural effusions. More focal opacities at lung bases may reflect atelectasis but infection cannot be completely excluded.",
"role": "assistant"
}
] |
[
"../images/29f643b7-e5408002-2f731ee3-cb5b8634-0d438145.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 provided demonstrate an AICD projecting over the left chest wall with leads extending into the region of the right atrium, right ventricle, and coronary sinus. Cardiomegaly is moderate. The lungs are clear. No pleural effusion or pneumothorax. Atherosclerotic calcification at the aortic knob. Bony structures intact. No free air below the right hemidiaphragm.",
"role": "assistant"
}
] |
[
"../images/09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43.jpg",
"../images/449aaf0d-39419c16-a79e10d0-a6d3b8b1-1076c60f.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": "Moderate cardiomegaly with AICD in unchanged position. No evidence of congestive heart failure or pneumonia.",
"role": "assistant"
}
] |
[
"../images/09a7bc78-861b7d8a-bf31a633-67e32681-cec68e43.jpg",
"../images/449aaf0d-39419c16-a79e10d0-a6d3b8b1-1076c60f.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 elevation right hemidiaphragm which was new or substantially worsened on ___ is unchanged. Severe cardiomegaly stable. No pulmonary edema or appreciable pleural effusion. Aside from right lower lobe atelectasiscommensurate with the elevated hemidiaphragm, lungs are clear. Courses of the 3 leads for the atrial biventricular pacer defibrillator system, a standard and no pneumothorax. Unchanged.",
"role": "assistant"
}
] |
[
"../images/9c8bbef1-95e3b0fb-eea57c06-586fe950-918a79be.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 was obtained. The right internal jugular central venous catheter has been pulled back now terminating in the mid SVC. Otherwise there is no substantial change over this short-interval followup.",
"role": "assistant"
}
] |
[
"../images/372f588f-f2061650-9cc50694-12a70654-dd425821.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 internal jugular central venous catheter has been pulled back, now terminating in the mid SVC.",
"role": "assistant"
}
] |
[
"../images/372f588f-f2061650-9cc50694-12a70654-dd425821.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No acute cardiopulmonary abnormality.",
"role": "assistant"
}
] |
[
"../images/cd866aa1-0710b4d4-2c7e1783-c1afef62-1d1301b4.jpg",
"../images/e3fc5bd6-0ebd345c-dd63d96c-6844627c-1b6cf82b.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, the previously malpositioned PICC line in the left jugular vein has been pulled back. However, on today's examination, the PICC line appears to project over the right axillary region. The line should be completely withdrawn and repositioned. The previous right internal jugular vein catheter was removed. There is unchanged mild cardiomegaly at lower lung volumes. These low lung volumes are essentially caused by an elevation of the right hemidiaphragm, better appreciated on the lateral than on the frontal radiograph. No current evidence of larger pleural effusions, pulmonary edema, or pneumonia. Unchanged pacemaker leads and left pectoral pacemaker generator.",
"role": "assistant"
}
] |
[
"../images/2fe309ca-e58c4d80-6f0002e9-cd535709-1c3f5890.jpg",
"../images/f2baee8f-ab9bb3f0-cd412d19-fa6f5014-d0388839.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 AP semi-upright view of the chest was obtained. Right IJ central venous catheter projects over the right atrium. An ICD pacing device with biventricular leads appears unchanged in position. Lung volumes remain low with right basilar atelectasis. Cardiomediastinal silhouette is stable. There is no focal consolidation or pleural effusion. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/d06735eb-af56afba-fcf0d03b-004b6c6c-93909724.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 placement of a right IJ catheter with tip in the right atrium, consider pulling back by 3 cm for optimal placement. 2. Otherwise, no substantial changes compared to the prior examination.",
"role": "assistant"
}
] |
[
"../images/d06735eb-af56afba-fcf0d03b-004b6c6c-93909724.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 frontal view of the chest demonstrates a left pectoral pacer/AICD with leads terminating in the right atrium, right ventricle, and coronary sinus. There has been interval removal of a right PICC. Prominent cardiac silhouette is unchanged. The mediastinal and hilar contours are unremarkable. Aortic arch calcifications are redemonstrated. The lungs are clear.",
"role": "assistant"
}
] |
[
"../images/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.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 radiographic evidence of acute cardiopulmonary process.",
"role": "assistant"
}
] |
[
"../images/bd31fe67-ad4d5454-2cfd7c09-13c04383-d38297ac.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": "Moderate to severe cardiomegaly is stable. Pacer leads are in standard position. ET tube is in standard position. Left IJ catheter tip is in the mid SVC . Right PICC is in unchanged position. NG tube tip is out of view below the diaphragm. Vascular congestion has improved. Bibasilar atelectasis have improved. Bilateral effusions right greater than left are unchanged",
"role": "assistant"
}
] |
[
"../images/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.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": "Improved pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/9df33cee-a5533c4d-56048d41-edb2923b-6b01ac1f.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 ___ ___, there has been placement of an endotracheal tube with its tip approximately 4.6 cm above the carina. Nasogastric tube extends to the lower body of the stomach. Continued low lung volumes. There is increase in the size and indistinctness of pulmonary vessels, consistent with elevated pulmonary venous pressure possibly related to over-hydration. The 3-channel pacer device remains in place. The left IJ catheter again crosses the midline to extend to the right subclavian or internal jugular system.",
"role": "assistant"
}
] |
[
"../images/39fd5a3b-600c7c44-8426c20e-dafdd287-f5b59fca.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 lung volumes continue to be low. Moderate atelectasis at both the left and the right lung bases. Moderate cardiomegaly, unchanged as compared to the previous image. Currently no evidence is seen of pneumonia or pulmonary edema. The patient has received the nasogastric tube. The course of the tube is unremarkable, the tip of the tube projects over the proximal parts of the stomach. The pacemaker is in unchanged position. Gastric overinflation, seen on the previous image, has substantially decreased.",
"role": "assistant"
}
] |
[
"../images/99417741-ca740461-763a545e-baf5aa74-65bf4e43.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 semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Bibasilar consolidations may represent atelectasis or pneumonia in the appropriate clinical setting. The cardiomediastinal and hilar contours are unchanged. There is a new lucency beneath the right hemidiaphragm concerning for intra-abdominal free air. Right-sided PICC line and to the mid SVC. Unchanged position of the AICD. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.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. Bibasilar consolidations may represent atelectasis or pneumonia in the appropriate clinical setting. 2. New lucency beneath the right hemidiaphragm is concerning for intra-abdominal free air. Clinical correlation recommended. Additional evaluation could be performed with repeat upright radiograph or left lateral decubitus radiograph. NOTIFICATION: These findings were discussed with Dr. ___ By Dr. ___ ___ telephone at 10:29 on ___, 10 minutes after discovery.",
"role": "assistant"
}
] |
[
"../images/036272e9-9052e7c2-444e59fd-86a7f36d-9dfe191a.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 semi-upright radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding. Clearing of the right base is consistent with decrease in size of the pleural effusion and improved aeration. Persistent retrocardiac opacity corresponds to atelectasis and probable left pleural effusion. There is moderate pulmonary edema. Cardiomediastinal and hilar contours are unchanged. Monitoring and support devices are in the appropriate position.",
"role": "assistant"
}
] |
[
"../images/bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf.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. 2. Stable retrocardiac opacity, consistent with small pleural effusion and atelectasis.",
"role": "assistant"
}
] |
[
"../images/bf9f8403-f941bbb9-13c134ff-ac80d6b9-e8442bdf.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 patient is status post median sternotomy and CABG. The cardiac and mediastinal silhouettes are stable with the cardiac silhouette persistently enlarged. Two lead left-sided pacemaker is again seen, unchanged in position. There are slightly low lung volumes and there is persistent mild elevation of the right hemidiaphragm. Slight blunting of the right costophrenic angle is stable. Stable right base scarring is again seen. There is no evidence of pneumothorax. No overt pulmonary edema is seen. There may be mild pulmonary vascular congestion.",
"role": "assistant"
}
] |
[
"../images/e538135c-ebad1b7e-5f239803-3d6bcf94-7c5fddc4.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": "Stable cardiomegaly with possible mild pulmonary vascular congestion, without overt pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/e538135c-ebad1b7e-5f239803-3d6bcf94-7c5fddc4.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 lateral views of the chest demonstrate left pectoral cardiac pacer with leads terminating in the right atrium and right ventricle. There is evidence of prior CABG. Median sternotomy wires are intact. Massive cardiomegaly is similar as before. Low lung volumes are unchanged. There is interval improvement of previously mild interstitial edema. Streaky retrocardiac opacities may be a combination of a chronic changes and subsegmental atelectasis. There is likely a small left pleural effusion.",
"role": "assistant"
}
] |
[
"../images/76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa.jpg",
"../images/9d53d4d6-3495e14a-d2f6c5b0-333b5174-8b65e1ab.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. Interval improved pulmonary edema. 2. Mildly increased small left pleural effusion and atelectasis admixed with chronic changes in the left lung base.",
"role": "assistant"
}
] |
[
"../images/76d2e3a0-a3074ba0-1b66d561-1eb29b13-3bb093aa.jpg",
"../images/9d53d4d6-3495e14a-d2f6c5b0-333b5174-8b65e1ab.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 portable upright chest radiograph was provided. Midline sternotomy wires and left chest wall pacer device again noted with pacer lead extending into the region of the right atrium and right ventricle. Multiple mediastinal clips are noted. As seen on prior high res CT, areas of scarring evidenced by subtle linear reticular opacity at the right lung base present. The heart is mildly enlarged. There is no definite effusion, though the left CP angle is excluded. No pneumothorax. No signs of CHF or discrete signs of pneumonia. Bony structures are intact.",
"role": "assistant"
}
] |
[
"../images/67412cf5-519f1711-72f5a403-2e6ec7fa-84dfa6b6.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": "Cardiomegaly with stable area of scarring at the right lung base.",
"role": "assistant"
}
] |
[
"../images/67412cf5-519f1711-72f5a403-2e6ec7fa-84dfa6b6.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 patient is status post median sternotomy and CABG. Left-sided dual-chamber pacemaker device is present with leads terminating in the right atrium and right ventricle. Moderate cardiomegaly is unchanged. Mild pulmonary vascular engorgement is likely present, similar compared to the prior study. Probable small bilateral pleural effusions are present. Pleural thickening within the lung apices is is unchanged. No pneumothorax is identified. Streaky bibasilar opacities likely reflect a combination of atelectasis with chronic fibrotic changes, more so in the right lung base. No pneumothorax is detected. No acute osseous abnormalities seen. Elevation of the right hemidiaphragm is unchanged. Remote fracture of the proximal right humerus is again noted.",
"role": "assistant"
}
] |
[
"../images/22a06cfc-11fababd-02d9a890-42cbc80e-34757e33.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Mild pulmonary vascular congestion, similar compared to the previous exam, with probable small bilateral pleural effusions. Bibasilar streaky airspace opacities could reflect a combination of atelectasis with chronic changes.",
"role": "assistant"
}
] |
[
"../images/22a06cfc-11fababd-02d9a890-42cbc80e-34757e33.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. Right lower lobe fibrosis. 2. Moderate cardiomegaly. 3. Interval right humeral neck fracture.",
"role": "assistant"
}
] |
[
"../images/fba838cc-fa4eb8b6-b3e8de64-e89c00ab-1bb9216a.jpg",
"../images/1e63fbae-cd836c8c-60c8d534-08ef62b9-a33e82f2.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Since the prior exam, there appears to be increased interstitial prominence, although no overt pulmonary edema. Stable bronchiectasis and scarring is again noted at the right base. There is no dense consolidation. There is no pleural effusion or pneumothorax. Severe cardiomegaly is present. A pacemaker is in place with wires in unchanged position. The patient is status post a CABG. The sternal wires are intact. There are severe degenerative changes of the bilateral shoulders.",
"role": "assistant"
}
] |
[
"../images/c12759af-b70b6882-d6cca08e-8811c264-7caf797c.jpg",
"../images/6f619231-f8a0ab48-6858a7eb-b0ee9c1c-de3385c9.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. Mild interval increase in interstitial prominence without definite pulmonary edema. 2. Stable right lower lobe scarring and bronchiectasis.",
"role": "assistant"
}
] |
[
"../images/c12759af-b70b6882-d6cca08e-8811c264-7caf797c.jpg",
"../images/6f619231-f8a0ab48-6858a7eb-b0ee9c1c-de3385c9.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": "Since the prior exam, there is increasing opacification at the right base, which is most likely due to aspiration, given the acute change. Otherwise, remaining lung fields are stable, including right lower lobe bronchiectasis and scarring. There is continued diffuse interstitial prominence. There is no definite pulmonary edema. There is no pleural effusion or pneumothorax. The heart is severely enlarged. Post-CABG changes are stable. A pacemaker is in place. The wires are in appropriate position.",
"role": "assistant"
}
] |
[
"../images/7568a044-7f2b130e-9af97f69-17cda54e-cb366755.jpg"
] |
mimic_findings
|
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