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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": "Increasing opacity in the right lower lung zone is worrisome for aspiration. Stable interstitial prominence and right lower lobe scaring.",
"role": "assistant"
}
] |
[
"../images/7568a044-7f2b130e-9af97f69-17cda54e-cb366755.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": "It is difficult to compare this exam with the previous one on ___ because of the rotation of the patient in the last exam. In comparison to the one on ___, the right hilar region is more dense and more convex mostly in its lower region. There is also underlying post-radiation changes with volume loss. Small right pleural effusion. There is no evidence of pneumonia. There is no pneumothorax. The left lung is unremarkable. The mediastinal and cardiac contour is unchanged. CONCLUSION: 1. There is no evidence of pneumonia. 2. The right hilar region appears more dense and more convex which is worrisome for progression of the malignancy. A CT scan is suggested.",
"role": "assistant"
}
] |
[
"../images/c69d3c51-1423eec1-ad25846b-9a9d2235-60b4ca2c.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": "Patient with right lung effusion and collapse lung.",
"role": "assistant"
}
] |
[
"../images/02e0a1f3-e42c0254-390b871b-928074cd-4c1a7890.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": "Right hilar and perihilar opacification appears unchanged and suggests a site of treated malignancy. The cardiac, mediastinal and hilar contours appear unchanged. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd.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 appearance of the chest; no evidence of a superimposed acute process.",
"role": "assistant"
}
] |
[
"../images/7e530d0e-05f64408-24c921b8-1929b8f8-29ec99fd.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": "An extensive right hilar lung mass is associated with radiation fibrosis, better delineated on CT ___. An additional component of postobstructive pneumonia may be present. Retrocardiac opacity, left pleural effusion, and left plueral thickening are also new. No pneumothorax is present.",
"role": "assistant"
}
] |
[
"../images/809c4a11-d1261c4e-235a6150-dd8e8160-162f9980.jpg",
"../images/7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e.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. Large right hilar lung mass and radiation fibrosis. Additional post-obstructive pneumonia in the right upper and lower lobes is possible but hard to delineate. 2. New left retrocardiac opacity, small left effusion, and pleural thickening. Findings were discussed with ___, RN, via telephone at ___ and again with Dr ___ at ___.",
"role": "assistant"
}
] |
[
"../images/809c4a11-d1261c4e-235a6150-dd8e8160-162f9980.jpg",
"../images/7e1f323f-a2ad8df6-c4803950-58e8a9d6-7058b48e.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": "An approximately 6 mm diameter rounded opacity is again demonstrated in the left retrocardiac region, to the left of the descending aortic interface. It overlies the tenth left posterior rib level and is not definitively calcified but overlap with rib limits this assessment. Lungs are otherwise notable for surgical chain sutures in right mid lung. Cardiomediastinal contours are within normal limits. Left subclavian and brachiocephalic vascular stents remain in place. Minimal pleural thickening versus small effusion at lateral right costophrenic sulcus. No acute skeletal findings.",
"role": "assistant"
}
] |
[
"../images/247e5fc9-da9bb4e3-d9886dfa-057f6e18-f694d947.jpg",
"../images/20808598-002b91e1-2f834ea2-4fc76a5b-3007d083.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": "6 mm diameter left lower lobe opacity is unchanged since recent chest radiograph, but is not fully characterized. Considering patient's immunosuppressed status and concern for acute infection, CT may be considered for more complete evaluation of this region if warranted clinically. This was discussed by telephone with the physician covering for Dr. ___ at pager ___ on ___ at 11:50 a.m.",
"role": "assistant"
}
] |
[
"../images/247e5fc9-da9bb4e3-d9886dfa-057f6e18-f694d947.jpg",
"../images/20808598-002b91e1-2f834ea2-4fc76a5b-3007d083.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": "Frontal radiographs of the chest demonstrate unchanged cardiomegaly. Lung volumes are low. There is pulmonary vascular congestion and moderate pulmonary edema increased from the prior. Bibasilar and retrocardiac opacities likely representing combination of pleural effusion and atelectasis with moderate to large pleural effusion on the right increased in size; underlying consolidation cannot be excluded. Left vascular stent is unchanged.",
"role": "assistant"
}
] |
[
"../images/9e4ff803-49fb5448-9a9d7215-dda7fcf0-edfff263.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, no additional line or monitoring devices visible on the current examination. The pre-existing Swan-Ganz catheter is in unchanged position. As on the previous report, it is noted that the the device needs to be pulled back by approximately 4 cm, as it is located too far in the right pulmonary system. Unchanged evidence of vascular stents and the right pleural effusion distributes in a different manner, but is overall unchanged in extent. The left lung appears unchanged.",
"role": "assistant"
}
] |
[
"../images/8967b4f7-73cc1f85-64b133a1-6fe7a386-01716d9f.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral chest radiographs were obtained. There are persistent bilateral small to moderate pleural effusions. There is marked cardiomegaly with mild to moderate pulmonary vascular congestion. No focal consolidation or pneumothorax is seen. Suture line in the right lower lobe and left-sided vascular stent are unchanged. No bony abnormality is identified.",
"role": "assistant"
}
] |
[
"../images/b0663db1-ba5dbce0-63cb3bda-a52f0def-7e5435d9.jpg",
"../images/fb3ef8ae-36255356-cb0d2269-7e268b4a-a253c3bf.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. Persistent bilateral pleural effusions. 2. Marked cardiomegaly and pulmonary vascular congestion.",
"role": "assistant"
}
] |
[
"../images/b0663db1-ba5dbce0-63cb3bda-a52f0def-7e5435d9.jpg",
"../images/fb3ef8ae-36255356-cb0d2269-7e268b4a-a253c3bf.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 unchanged cardiomegaly. There has been some improvement of aeration at the right lung base. There remain bilateral pleural effusions and a left retrocardiac opacity. No pneumothoraces are present.",
"role": "assistant"
}
] |
[
"../images/34a9c77c-75d0076f-b1afc9bf-6a0be3b9-0bf021d1.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "PA and lateral views of the chest were provided. There are bilateral pleural effusions, new from prior exam with subjacent consolidation which could represent compressive atelectasis. The possibility of pneumonia is not excluded. There is no pneumothorax. The heart is top-normal in size. A vascular stent is again noted in the left brachiocephalic vein. The imaged osseous structures are intact. No free air is seen below the right hemidiaphragm.",
"role": "assistant"
}
] |
[
"../images/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg",
"../images/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.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": "Bilateral pleural effusions with adjacent consolidation new from prior exam raises concern for fluid overload. Correlate with renal function.",
"role": "assistant"
}
] |
[
"../images/a235e413-ace39b4e-97962e04-aed60fc7-c71c87ed.jpg",
"../images/294c1ae1-00cea6c8-99bd6a39-7bf5b955-e32bf184.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "In comparison with study of ___, there are again bilateral pleural effusions, which may be increasing on the right. Continued enlargement of the cardiac silhouette, possibly with mild elevation of pulmonary venous pressure.",
"role": "assistant"
}
] |
[
"../images/98799e4e-1081c047-ad705716-d7734aa8-600d7924.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Following the procedure, there is no evidence of pneumothorax. There are lower lung volumes with evidence of bilateral pleural effusions, more prominent on the right with compressive atelectasis at the bases. Retrocardiac opacification is again consistent with volume loss in the left lower lobe.",
"role": "assistant"
}
] |
[
"../images/aff4536f-731bfbe8-e4a91fc5-06868b90-fbdb4737.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 heart size is moderately enlarged. The mediastinal silhouette and hilar contours are unchanged. A moderate to large right-sided pleural effusion is slightly increased in volume compared to prior examination with collapse of much of the right lower lobe and right middle lobe. There is also some consolidation at the base of the right upper lobe which could be due to compressive atelectasis. There is no left effusion. The upper lung zones appear clear. There is no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg",
"../images/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.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": "Slightly increased moderate to large right-sided pleural effusion with collapse of much of the right middle lobe and right lower lobe. Superimposed pneumonia cannot be excluded given the appropriate clinical circumstance.",
"role": "assistant"
}
] |
[
"../images/6d864779-3ef443ae-59264dbd-d63f8a20-cf4aa1e5.jpg",
"../images/e1463bfe-02353b8a-fe58ada7-b6000ba2-b57da915.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 patient has received a Swan-Ganz catheter. Catheter shows a normal course, the tip, however, is located too much distal in the right pulmonary artery and must be pulled back by approximately 4 cm. Otherwise, the radiograph is unchanged, low lung volumes, mild cardiomegaly, vascular stents in situ. Moderate to extensive right pleural effusion and mild left pleural effusion, both with evidence of atelectasis in the basal lung regions. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/c9d61fcf-0566cce5-a12caae5-5c86b25f-20caac6a.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Portable AP chest radiograph. The Swan-Ganz catheter has been withdrawn 2 cm, but still should be withdrawn an additional 2 cm. There is otherwise no significant interval change. Again noted is a vascular stent in the left subclavian artery and moderate bilateral pleural effusions, greater on the right. Mild interstitial edema has not significantly changed.",
"role": "assistant"
}
] |
[
"../images/6e155ca6-fbba81ca-123ca9ce-4d7817ed-a687f7be.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, the patient has undergone right thoracocentesis. The extent of the pre-existing pleural effusion has substantially decreased. There is no evidence of pneumothorax. The signs indicative of mild-to-moderate interstitial pulmonary edema are also improved, but the heart continues to be large and the contours of the left hilus continue to be bulging outwards. Atelectasis at the left and right lung bases are unchanged. No evidence of pneumonia.",
"role": "assistant"
}
] |
[
"../images/3c920897-9646c09a-68473fee-614861c4-7a9780f1.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": "Lung volumes are somewhat low, however, no focal opacity to suggest pneumonia is seen. No pleural effusion, pulmonary edema or pneumothorax is present. A stent in the region of the left brachiocephalic vein is unchanged. Surgical chain suture is noted in the right lower lobe. A calcification seen projecting over the cardiac silhouette to the left of the aorta is not clearly localized on this single frontal radiograph, however, was not present on the examination of ___. The heart size is normal.",
"role": "assistant"
}
] |
[
"../images/1b02e072-fa368bfc-a9a77874-e1a0094e-7cac5d6a.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. No evidence of acute cardiopulmonary process. 2. Rounded calcification projecting over the cardiac silhouette not well localized on this single frontal radiograph. This could represent a calcified granuloma, however, was not present on the examination of ___. PA and lateral radiographs may be performed for further evaluation and localization.",
"role": "assistant"
}
] |
[
"../images/1b02e072-fa368bfc-a9a77874-e1a0094e-7cac5d6a.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 ___: Mild pulmonary edema has improved, severe cardiomegaly has not. Mediastinal veins are not particularly dilated. There is no large pleural effusion. Dialysis catheter ends in the right atrium. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/f983cdd1-c3d0de12-3db3f665-cdadb3af-3ffd4c47.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 right internal jugular dialysis catheter terminates within the right atrium. There is no pneumothorax or pleural effusion. The cardiac silhouette is severely enlarged, but unchanged. The hilar structures are unremarkable. There is no pleural effusion. There is a chronic subclincal pulmonary edema appearance to the pulmonary vascularity without evidence for acute volume overload.",
"role": "assistant"
}
] |
[
"../images/eb52937f-7fa55b40-86540246-ca98fc35-a5a9b68a.jpg",
"../images/980d5f73-a77d993b-7b3da70b-568e00db-8b84048d.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": "Satisfactory right internal jugular dialysis catheter position without pneumothorax. Unchanged severe cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/eb52937f-7fa55b40-86540246-ca98fc35-a5a9b68a.jpg",
"../images/980d5f73-a77d993b-7b3da70b-568e00db-8b84048d.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 lung volumes have decreased. Signs of chronic interstitial fluid overload. Marked increase of the cardiac silhouette that is now moderately to severely increased. A central venous access line for dialysis has been placed over the right, the tip of the line projects over the right atrium. Mild bilateral pleural effusions. No hilar or mediastinal lymphadenopathy. No pneumonia. No lung nodules or masses.",
"role": "assistant"
}
] |
[
"../images/41d91119-e4864968-f736d803-6295f4df-29c302ea.jpg",
"../images/fa323a43-287e7b67-e0efec9e-9db65ff2-f6180c57.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The lungs are well expanded and clear. Area of increase density overlying the right hilum with a sharp lower margin is of unclear clinical significance. Severe cardiomegaly is reidentified. The hilar contours are unremarkable. There is no pleural effusion or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/f2fc645a-c9a8eb56-89315f4e-063eed9b-7eccbae9.jpg",
"../images/db56399e-4f04b226-d9773c85-a6d565a6-04fe3904.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. Area of increase density overlying the right hilum with a sharp lower margin is of unclear clinical significance. Chest CT is recommended for further assessment. 2. Severe cardiomegaly, unchanged. The impression was entered as an urgently flagged wet read on the ED dashboard by Dr ___ on ___ at 9:05 am after discussion with the attending as the patient was still in the ED.",
"role": "assistant"
}
] |
[
"../images/f2fc645a-c9a8eb56-89315f4e-063eed9b-7eccbae9.jpg",
"../images/db56399e-4f04b226-d9773c85-a6d565a6-04fe3904.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. Again seen is severe enlargement of the cardiac sillouhette. There is no focal consolidation, pleural effusion, or pneumothorax. The mediastinal and hilar contours are unchanged. A right central venous catheter has been removed.",
"role": "assistant"
}
] |
[
"../images/ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def.jpg",
"../images/2f367971-fd362569-13656215-c6b98024-ea2cf207.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": "Severe enlargement of the cardiac siillouhette, unchanged, likely cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/ddd9741c-9e15a25a-d4b08e32-9ee083c4-b7671def.jpg",
"../images/2f367971-fd362569-13656215-c6b98024-ea2cf207.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 severe cardiomegaly with a globular configuration of the heart. The central venous catheter for dialysis is again visualized projecting over the right atrium. There are small bilateral pleural effusions, similar compared to prior. There is no focal infiltrate.",
"role": "assistant"
}
] |
[
"../images/70556779-5d594bd7-7131cbb1-c990fa9a-9a625f61.jpg",
"../images/a5e77ee2-5fec82c7-1f5ffe9c-ccd28c6b-f4a44978.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 tunneled hemodialysis catheter is unchanged in position with its tip in the right atrium. The heart remains severely enlarged. The lungs are well expanded and clear. There is no pleural effusion, or pneumothorax. The mediastinal contours are normal.",
"role": "assistant"
}
] |
[
"../images/5f17fe93-aaa0c148-72ccdc7f-ad2268b1-56572a09.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": "Severe cardiomegaly is unchanged, there is no edema or acute chest abnormality.",
"role": "assistant"
}
] |
[
"../images/5f17fe93-aaa0c148-72ccdc7f-ad2268b1-56572a09.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": "Redemonstrated is a reticular interstitial pattern consistent with known ___. Lung volumes are low. There is no focal consolidation, pleural effusion, or pneumothorax. Hardware is seen in the lumbar spine.",
"role": "assistant"
}
] |
[
"../images/ba5d48f0-3105c3a1-1e049eec-c72ac120-415942b0.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 process. Chronic interstitial changes c/w ___.",
"role": "assistant"
}
] |
[
"../images/ba5d48f0-3105c3a1-1e049eec-c72ac120-415942b0.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "PA and lateral views of the chest were provided. Patient is known to have lymphangiomyomatosis. Coarsened interstitial markings are compatible with known cystic lung disease. There is no superimposed consolidation to suggest pneumonia. No effusion or pneumothorax. Cardiomediastinal silhouette is normal. Bony structures are intact. No free air below the right hemidiaphragm.",
"role": "assistant"
}
] |
[
"../images/279895b7-16a23c5e-1aea2909-baa62b3f-884b6f9e.jpg",
"../images/ab5d8429-a48d1b05-af73d020-ef1f6e53-30f8ae8d.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Stable chronic lung disease compatible with ___. No superimposed pneumonia.",
"role": "assistant"
}
] |
[
"../images/279895b7-16a23c5e-1aea2909-baa62b3f-884b6f9e.jpg",
"../images/ab5d8429-a48d1b05-af73d020-ef1f6e53-30f8ae8d.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. Diffuse predominantly reticular opacities, diffusely distributed through the lung, without evidence of other focal parenchymal abnormality. No evidence of pneumonia. No pleural effusions. Borderline size of the cardiac silhouette. Mild tortuosity of the thoracic aorta.",
"role": "assistant"
}
] |
[
"../images/8be5e566-84d421c6-72d46c14-79091c67-73751f9f.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral views of the chest were obtained. The heart is of normal size with normal cardiomediastinal contours. The lung volumes are low. There are diffusely increased interstitial markings bilaterally, compatible with known lymphangioleiomyomatosis. No pleural effusion, pulmonary consolidation, or pneumothorax. The osseous structures are unremarkable. No radiopaque foreign body.",
"role": "assistant"
}
] |
[
"../images/be82eebb-cd25c088-b3c1ddfa-6ccf0b10-880a3a77.jpg",
"../images/b1eb70c2-97d846e5-476dfd4b-52ab781f-bcbbb7a2.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. Chronic interstitial changes compatible with known lymphangioleiomyomatosis.",
"role": "assistant"
}
] |
[
"../images/be82eebb-cd25c088-b3c1ddfa-6ccf0b10-880a3a77.jpg",
"../images/b1eb70c2-97d846e5-476dfd4b-52ab781f-bcbbb7a2.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 heart size is normal. The mediastinal and hilar contours are within normal limits. The pulmonary vascularity is normal. Diffuse increased interstitial markings are similar when compared to the prior study and compatible with the patient's known history of lymphangiomyomatosis. No focal consolidation, pleural effusion or pneumothorax is present. No acute osseous abnormalities are visualized. Partially imaged is fusion hardware within the lumbar spine. Widening of the right acromioclavicular interval likely reflects remote trauma.",
"role": "assistant"
}
] |
[
"../images/8c86917f-0d8be3f4-f464a18e-3638f3a1-343d29c4.jpg",
"../images/f13c668b-a7cbd8c4-3de552f9-4c0921fe-7c8b4a12.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 abnormality. Chronic lung changes compatible with lymphangiomyomatosis.",
"role": "assistant"
}
] |
[
"../images/8c86917f-0d8be3f4-f464a18e-3638f3a1-343d29c4.jpg",
"../images/f13c668b-a7cbd8c4-3de552f9-4c0921fe-7c8b4a12.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 cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax. Lung volumes are increased compared to the most recent prior study. Diffuse interstitial abnormality with small nodules not significantly changed. Pulmonary vasculature is within normal limits.",
"role": "assistant"
}
] |
[
"../images/e4e0e4ff-71138eac-7cef38bd-ce820887-d59037ff.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": "Diffuse interstitial abnormalities, small nodules, with no appreciable progression. Improved lung volumes.",
"role": "assistant"
}
] |
[
"../images/e4e0e4ff-71138eac-7cef38bd-ce820887-d59037ff.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 frontal and lateral view of the chest demonstrate a diffuse interstitial abnormality. There are no focal areas of consolidation to suggest pneumonia. The cardiomediastinal and hilar contours are normal. There is no pleural effusion or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/9ed98f0d-44106851-df647480-672d93ed-95426753.jpg",
"../images/b8ec370f-450e80d9-25461f27-72d3da41-d6e10bae.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": "Peristent diffuse interstitial abnormalies. No evidence of pneumonia.",
"role": "assistant"
}
] |
[
"../images/9ed98f0d-44106851-df647480-672d93ed-95426753.jpg",
"../images/b8ec370f-450e80d9-25461f27-72d3da41-d6e10bae.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": "Improved aeration at the left lung base, with persistent linear atelectasis and small amount of pleural fluid.",
"role": "assistant"
}
] |
[
"../images/946ab43b-aafbeb4c-99c6b132-43bf9624-4c09a5f4.jpg",
"../images/7a940e4a-bb7a8fee-1fa7e158-a2e6bcd7-85a3a017.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 lungs are low in volume but otehrwise clear. Left hemidiaphragm is somewhat obscured in its lateral-most component, though this could be projectional. The left lung base is poorly imaged. There is no definite pleural effusion or pneumothorax. Stable marked cardiomegaly is noted.",
"role": "assistant"
}
] |
[
"../images/eae9b998-2b29a12b-6d6fd4c2-8227ce7b-7f1c4262.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": "Questionable opacity in left base. When the patient's clinical status improves, repeat evaluation by PA and lateral chest radiograph is recommended to exclude a pleural effusion or left basilar parenchymal process.",
"role": "assistant"
}
] |
[
"../images/eae9b998-2b29a12b-6d6fd4c2-8227ce7b-7f1c4262.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, the lung volumes have increased, reflecting improved ventilation. There is minimal atelectasis at both lung bases but no evidence of a focal parenchymal opacity suggesting pneumonia. Borderline size of the cardiac silhouette without pulmonary edema. No pleural effusions. No hilar or mediastinal abnormalities.",
"role": "assistant"
}
] |
[
"../images/6eb24aca-5687f160-c7d0c498-3d8a1abf-05bf0b8c.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. Right internal jugular central line with its tip in the distal superior vena cava. Persistent low lung volumes with worsening opacities at both bases with associated indistinctness of the pulmonary vascularity. Therefore, I would favor the presence of pulmonary edema rather than an infectious process. Clinical correlation, however is advised. No pneumothorax is appreciated. Overall, cardiac and mediastinal contours are difficult to assess given low lung volumes and patient rotation on the current examination. Clips within the left upper quadrant are again seen.",
"role": "assistant"
}
] |
[
"../images/3609ba5b-c6aace8b-4557ed37-bf396c15-50b6ba75.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 cardiac, mediastinal, and hilar contours appear unchanged. The lung volumes are low. There is a patchy left basilar opacity obscuring the cardiac border and apex of the left hemidiaphragm, worrisome for pneumonia. Elsewhere, the lungs appear clear. There are no pleural effusions or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/af39d55c-0622bc39-b9865798-29ff5a61-eb7cfb93.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 left basilar opacity worrisome for pneumonia.",
"role": "assistant"
}
] |
[
"../images/af39d55c-0622bc39-b9865798-29ff5a61-eb7cfb93.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 lung volumes have increased, likely reflecting improved ventilation. The transparency of the lung parenchyma on the right has increased more than on the left. On the left, there are unchanged areas of left basal atelectasis and a moderate left pleural effusion. Borderline size of the cardiac silhouette. No newly appeared parenchymal opacities.",
"role": "assistant"
}
] |
[
"../images/467d9162-e7cce16e-70dfaa79-1867728f-1db6394e.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": "New mild pulmonary arteries cephalization with increased interstitial markings are compatible with mild interstitial edema. Mild cardiac enlargement is stable. There are bibasilar opacities that could be explained in part by small bilateral pleural effusion and atelectasis; however, pneumonia or aspiration cannot be excluded. There is no pneumothorax. CONCLUSION: 1. New mild interstitial edema with stable mild cardiomegaly. 2. Bibasilar opacities could be in part explained by small pleural effusion and atelectasis. However, aspiration or pneumonia cannot be excluded. This has been verbally discussed with referring physician.",
"role": "assistant"
}
] |
[
"../images/765fd687-06776030-fe337975-2739eab4-decbb9c2.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral views of the chest were obtained. A single-lead left-sided AICD is again seen with lead extending to the expected position of the right ventricle. There has been interval removal of a right internal jugular central venous catheter. There is minimal interstitial edema. No large pleural effusion or pneumothorax. The cardiac silhouette remains mildly enlarged. The aorta is tortuous. No focal consolidation seen.",
"role": "assistant"
}
] |
[
"../images/a2f93b13-6b7f3079-3610454c-347f5e93-ad8f103b.jpg",
"../images/c826aa5d-6ff5ee3a-11a18fb2-ab264bed-566e1edb.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": "Minimal interstitial edema and mild cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/a2f93b13-6b7f3079-3610454c-347f5e93-ad8f103b.jpg",
"../images/c826aa5d-6ff5ee3a-11a18fb2-ab264bed-566e1edb.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Portable AP chest radiograph is obtained with patient in the upright position. Cardiomediastinal contours are stable. On the left, there are unchanged areas of basal atelectasis and a moderate left pleural effusion that is unchanged. There is improvement in the pulmonary edema with persistence of mid right lung hazy opacification laterally, possibly suggesting consolidation in this region.",
"role": "assistant"
}
] |
[
"../images/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.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 edema apperas to be improving, persistent right opacification is concerning for consolidation and pneumonia should be considered in the appropriate clinical context.",
"role": "assistant"
}
] |
[
"../images/172a847d-d8c6570a-3cb0cff9-cb4ca0bd-3a8b93f1.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 heart is at the upper limits of normal size. Linear calcification projects over the right lung apex. The lungs appear otherwise clear. There are no pleural effusions or pneumothorax. Vascular calcifications are widespread. No free air is demonstrated. There are moderate to severe degenerative changes involving each glenohumeral joints. Mild degenerative changes are present along the visualized lower thoracic spine.",
"role": "assistant"
}
] |
[
"../images/a194aa87-2cb7c882-7602c814-7712dbb4-9ac8dea7.jpg",
"../images/f430ec0f-40b790de-a5178baf-9dd6c108-9fc32de6.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 acute disease.",
"role": "assistant"
}
] |
[
"../images/a194aa87-2cb7c882-7602c814-7712dbb4-9ac8dea7.jpg",
"../images/f430ec0f-40b790de-a5178baf-9dd6c108-9fc32de6.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 pacer/defibrillator unit projects over the left chest with a lead terminating in the right ventricle. The heart size is mildly enlarged, although this may be exaggerated by AP technique. The mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob. The hilar contours demonstrate mild vascular engorgement. The lungs also demonstrate widespread hazy opacity, compatible with pulmonary edema. There is no large pleural effusion or pneumothorax. Degenerative changes are present in the bilateral glenohumeral joints.",
"role": "assistant"
}
] |
[
"../images/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.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": "Pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/b4a1b5bb-c12e1164-ded8460a-ccc5b283-abc72a43.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. Interval improvement in aeration. No focal airspace consolidation is appreciated on the current examination and therefore the previously described abnormality likely reflected atelectasis which has resolved in the interim. There is no evidence of pulmonary edema, pneumothorax or pleural effusions. Overall cardiac and mediastinal contours remain stable given relatively diminished lung volumes.",
"role": "assistant"
}
] |
[
"../images/d91f5a1b-ccae5866-ec492d00-03828bba-bedd8a19.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 patient has received an endotracheal tube. The tip of the tube projects 1 cm above the carina and should be pulled back by approximately 1-2 cm. There is no evidence of complications. The patient has also received a nasogastric tube, the course of the tube is unremarkable, the tip of the tube projects over the middle parts of the stomach. Unchanged appearance of the lung parenchyma, the heart and the chest wall.",
"role": "assistant"
}
] |
[
"../images/4e2ae929-40713138-9d6a757e-deeed0b1-8062cd72.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 are continued low lung volumes. Bilateral pleural effusions with compressive atelectasis at the bases persist. Mild pulmonary vascular congestion is again seen. Right IJ catheter remains in place.",
"role": "assistant"
}
] |
[
"../images/a07fcdb2-cfd4c07c-10798b86-59623927-3210f2a2.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, the right hemothorax that pre-existed has slightly decreased in extent but is still visible. The pneumothorax is limited to the apicolateral parts of the right hemithorax. There is no evidence of tension. Unchanged moderate cardiomegaly with bilateral pleural effusions and areas of atelectasis. Mild fluid overload. Status post CABG.",
"role": "assistant"
}
] |
[
"../images/8753dd62-80681aa9-11dcf353-7d254056-7c7675c7.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": "Compared to the previous radiograph, the monitoring and support devices are unchanged. A pre-existing right pleural effusion has slightly increased in extent. Subsequent areas of atelectasis are bilaterally constant. Constant appearance of the cardiac silhouette. No hilar or mediastinal abnormalities.",
"role": "assistant"
}
] |
[
"../images/a19573c3-98f76c03-5552fc10-4d2cb79e-bce663a8.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Cardiac silhouette is enlarged and accompanied by pulmonary vascular congestion. Persistent moderate right and small left pleural effusions with adjacent basilar lung opacities, which probably reflect atelectasis, although coexisting pneumonia is possible in the appropriate clinical setting.",
"role": "assistant"
}
] |
[
"../images/2ff42829-e2419fdc-267d447a-f0ece038-e2161c61.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 median sternotomy and coronary bypass surgery. Heart remains enlarged, and is accompanied by pulmonary vascular congestion. Interval improved aeration at both lung bases with improving atelectasis and decreasing pleural effusions. No new areas of consolidation within either lung.",
"role": "assistant"
}
] |
[
"../images/c383b852-eac5f445-af9853bb-aaadded6-9b28a98c.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": "AP single view of the chest has been obtained with patient in upright position. Comparison is made with the next preceding similar study of ___. The findings on the portable AP single chest view remains the same. Thus, bilateral pleural effusions exist and the pulmonary vasculature remains congested similar as it was on all three postoperative and follow up examinations. As on the next previous study, the patient is extubated. Right internal jugular approach central venous line remains in unchanged position.",
"role": "assistant"
}
] |
[
"../images/5c03570c-7b4fd4a2-4faf7ff0-ab71c1af-e7dec254.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": "Slight interval improvement in mild pulmonary vascular congestion, small bilateral pleural effusions, and bibasilar airspace opacities likely reflecting atelectasis. Please note that infection at the lung bases cannot be completely excluded.",
"role": "assistant"
}
] |
[
"../images/c618f7c6-63bae7bd-d89233fa-c06b5734-3efeed2c.jpg",
"../images/5ac86c9b-ce17b8a6-e0a355bd-2741a2c0-f6ee819b.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 single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___. As before, the patient is status post sternotomy, aortic valve replacement and bypass surgery. Cardiomegaly as before. A right internal jugular approach central venous line remains in unchanged position and terminates in a location compatible with the upper portion of the right atrium. The diaphragmatic contours are bilaterally obscured and the lateral pleural sinuses are blunted. This is indicative of increasing pleural effusion in comparison with the previous portable postoperative chest examination. Pulmonary vasculature remains congested with considerable perivascular haze. No pneumothorax is seen. The comparison is extended to multiple previous postoperative examinations, signs of pleural effusion and pulmonary congestion existed already earlier. On the preoperative chest examination of ___, significant cardiomegaly existed already at that time. The pleural spaces are practically free.",
"role": "assistant"
}
] |
[
"../images/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.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": "Continuing postoperative CHF with bilateral pleural effusion apparently increasing slightly during latest examination interval. Dr. ___ ___ was informed via page.",
"role": "assistant"
}
] |
[
"../images/89af9a9c-8f769cde-04b1cfb3-5ad98100-9e25d3a6.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 earlier study of this date, the endotracheal tube tip lies approximately 2.8 cm above the carina. Nasogastric tube extends to at least the mid body of the stomach, where it crosses the inferior margin of the image. Right IJ catheter extends to about the level of the cavoatrial junction. Change in appearance of the right pleural effusion may reflect differences in patient position. Bilateral atelectasis and pulmonary edema are essentially unchanged.",
"role": "assistant"
}
] |
[
"../images/37e045d0-5af0d058-12f0ea0b-100224f6-7464d84d.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 has been placement of a right basilar chest tube with clearing of almost all of the pleural effusion. No evidence of pneumothorax. The remainder of the study is essentially unchanged.",
"role": "assistant"
}
] |
[
"../images/c9479a79-1b877264-b3222893-a2b4e2b9-8eba1e3f.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, there is no relevant change. Low lung volumes with bilateral pleural effusions and relatively extensive areas of bilateral basal atelectasis. Mild fluid overload might be present. No newly appeared focal parenchymal opacities. The right internal jugular vein catheter and the sternal wires are in constant position.",
"role": "assistant"
}
] |
[
"../images/26d9c6a6-23aadec2-4f13a9f7-d2bfdb99-ba5c03ff.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, the endotracheal tube has been slightly pulled back. It now projects roughly 3 cm above the carina. The lung parenchyma has minimally increased in transparency, potentially reflecting improved ventilation or higher respiratory pressures. Small bilateral pleural effusions are likely. Unchanged evidence of mild fluid overload and cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/ffa922f9-60c9f991-d3cb83aa-6f446e5e-f6be9611.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 improvement of ventilation, as reflected by decrease in extent of the parenchymal opacities. At the lung bases, the opacities, however, are still evident. Moderate cardiomegaly, mild fluid overload, no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/c23b378d-83c12bd1-41434eef-579d522e-0862b804.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. The Dobbhoff feeding tube is seen coursing down into the stomach and then courses back up into the upper esophagus where the tip is positioned. Removal with an attempt at repositioning of the Dobbhoff feeding tube would be advised at this time. The endotracheal tube remains in place and the tip is difficult to identify as this is the location where the Dobbhoff feeding tube appears to be coiled within the esophagus. However, it is likely unchanged in position. There has been median sternotomy. Stable postoperative cardiac and mediastinal contours. There are layering effusions bilaterally with some associated patchy airspace disease, which most likely represents compressive atelectasis. Overall, there has been interval improvement in the pulmonary edema. No pneumothorax is seen. Results of this examination were conveyed directly to the patient's nurse, ___, on ___ at 11:55 a.m. The patient's nurse stated that the feeding tube has already been withdrawn and a new feeding tube has been put in place.",
"role": "assistant"
}
] |
[
"../images/abaf3f48-e5ba0e33-b7c52893-aa44a3b8-7aa9a7d2.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Portable AP chest radiograph demonstrates worsening bilateral pleural effusions and associated atelectasis, greater on the right. There is also worsening pulmonary vascular congestion. There is no pneumothorax. Right internal jugular catheter probably terminates in the right atrium.",
"role": "assistant"
}
] |
[
"../images/ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6.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": "Worsening pulmonary edema and bilateral pleural effusions. Results were relayed to ___, PA-C by phone at approximately 6:00 p.m. on ___.",
"role": "assistant"
}
] |
[
"../images/ca3df6c0-8ce90248-b3cecb87-71db5654-312cdcf6.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 congestive heart failure with small bilateral pleural effusions and bibasilar airspace opacities, likely reflecting atelectasis, though infection cannot be excluded.",
"role": "assistant"
}
] |
[
"../images/e652c211-269bf80b-7db4a010-71e01204-f164bb7c.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Lung volumes are lower than on the prior study with volume loss in both lower lobes and bilateral pleural effusions, right greater than left. Underlying infectious infiltrate in the lower lobes cannot be excluded. Compared to the prior study, the pulmonary appearance in the lower lobes is worsened. Right-sided PICC line tip is in the SVC. There is no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/d7e9f055-751c8d65-66226fcf-da86917c-6f5082a5.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": "Moderate pulmonary edema has progressed since yesterday. Bibasilar atelectasis is unchanged. Mild cardimegally is similar. Median sternotomy wires are intact and mediastinal clips are in expected positions.",
"role": "assistant"
}
] |
[
"../images/88fa75e4-2f2e9c03-71433ae3-1d8780f4-1e2eae3c.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": "Progression of moderate pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/88fa75e4-2f2e9c03-71433ae3-1d8780f4-1e2eae3c.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 a right IJ central venous line with distal lead tip at the cavoatrial junction, stable. There are extensive large pleural effusions, right side worse than left. Atelectasis at the left lung base and poor inspiratory effort is again visualized. No pneumothoraces are seen. There is mild underlying pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/7b29d6f3-369318e4-db0f16ce-ba0efb3e-630b539c.jpg",
"../images/c8502a35-a270d52b-bd1e0d87-6a535418-3c742175.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 little overall change in the appearance of the heart and lungs. Continued low lung volumes with bilateral pleural effusions and compressive atelectasis with some elevation of pulmonary venous pressure. In the appropriate clinical setting, supervening pneumonia would have to be considered. There has been removal of the right chest tube with no evidence of pneumothorax. The intestinal tube has also been removed.",
"role": "assistant"
}
] |
[
"../images/b3e4ebe4-483b4cbe-499b39c6-b6299065-c14cba2d.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Since most recent prior radiograph a Swan-Ganz catheter, feeding tube, right IJ central line have been removed and ET tube hav been removed. Lung volumes are low. There are now new bilateral large bibasilar opacities consistent with atelectasis. There are unchanged bilateral pleural effusions. There is new mild pulmonary edema. A right chest tube is in place. There are median sternotomy wires and stable moderate cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.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. Removal of multiple monitoring and support devices. 2. New mild pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/77f8b16c-dc92cae8-c7cbef7d-dd25244a-9176e253.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": "Bilateral lung volumes are lower. Since yesterday, mild-to-moderately severe pulmonary edema has significantly improved. However, moderate right pleural effusion associated with right lower lung atelectasis and left lower lung atelectasis and small left pleural effusions are unchanged. The lung effusions and atelectasis obscuring the mediastinal border, thus assessment of the cardiomediastinum was limited.",
"role": "assistant"
}
] |
[
"../images/35f28cfc-b84acf9e-a2b8b7da-f8d86acb-a043c4e6.jpg",
"../images/5c3a891f-05d81eb0-c4ade60a-d0b2c55e-b6856098.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": "Over last 24 hours, mild pulmonary edema has significantly improved, moderate right and small left pleural effusion as well as bilateral lower lung atelectasis are unchanged.",
"role": "assistant"
}
] |
[
"../images/35f28cfc-b84acf9e-a2b8b7da-f8d86acb-a043c4e6.jpg",
"../images/5c3a891f-05d81eb0-c4ade60a-d0b2c55e-b6856098.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 five hours earlier. Bilateral pleural effusions are again seen, right side worse than left. There is cardiomegaly. There is mild-to-moderate pulmonary edema with prominence of pulmonary interstitial markings. There is a right IJ catheter with distal lead tip in the right atrium. This could be pulled back 4 cm for more optimal placement. There is calcification adjacent to the soft tissues of the right shoulder which can be seen with calcific tendinitis or tumoral calcinosis.",
"role": "assistant"
}
] |
[
"../images/ceeb934a-c305e7cc-8fb84dc9-13a7b24c-ef709a44.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 again is enlargement of the cardiac silhouette with pulmonary edema and bilateral pleural effusions with compressive atelectasis, worse on the right. IJ catheter remains in place.",
"role": "assistant"
}
] |
[
"../images/f7444698-77590d7a-c6202efc-7ebaf856-eb1ee866.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Comparison is made to prior study from ___ at 11:51 a.m. There is a Dobhoff tube whose distal tip is below the gastroesophageal junction. There is endotracheal tube whose tip is 3 cm above the carina. There is a right-sided central venous catheter with the distal lead tip in the mid SVC. There are bilateral pleural effusions and left retrocardiac opacity, which is stable. There is also some pulmonary vascular congestion which is unchanged.",
"role": "assistant"
}
] |
[
"../images/352d3cd6-62973415-eb038984-1a3b871f-3d226e60.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 ___: The patient has been extubated and lung volumes are lower. There has been a disproportional increase in caliber of the mediastinum, which could be due to bleeding or vascular engorgement due to cardiac tamponade. Lung periphery shows no vascular engorgement, so left heart function is not incriminated. There is no pneumothorax or appreciable pleural effusion, left basal pleural tube is still in place. Bibasilar atelectasis is only moderate and unchanged. Right subclavian line ends in the right atrium. ___ was paged as soon as this examination appeared for review and I discussed the findings with ___ at the time of dictation.",
"role": "assistant"
}
] |
[
"../images/7ceecc91-32932b6b-bf0ae761-92a74cf7-fe124fbc.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 right port catheter tip ends in the mid SVC. Sternal wires are intact and midline. There are small bilateral pleural effusions, slightly larger on the left than on the right. The cardiac silhouette is moderately enlarged. There is mild engorgement of the pulmonary vasculature. There has been improvement in the previously noted pulmonary edema with minimal residual edema. There is plate-like atelectasis seen in the left base. There is no consolidation or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/43b4627a-0c31cd6a-92c2144b-ecbf51e1-1519741b.jpg",
"../images/72a15dc0-cfcca17f-201baf20-76f2e298-e4123143.jpg"
] |
mimic_findings
|
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