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[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. Small bilateral pleural effusions. 2. Improvement in pulmonary edema.", "role": "assistant" } ]
[ "../images/43b4627a-0c31cd6a-92c2144b-ecbf51e1-1519741b.jpg", "../images/72a15dc0-cfcca17f-201baf20-76f2e298-e4123143.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 removal of left chest tube. No new pneumothorax or increase in left-sided effusion. 2) Equivocal slight increase in opacity at right base. Otherwise, I doubt significant interval change.", "role": "assistant" } ]
[ "../images/1360763e-71ee973d-a29d16c9-9763397e-37844701.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. New Port-A-Cath terminating in the low SVC with no pneumothorax or other evidence of procedural complication. 2. Possible small left pleural effusion. 3. Possible mass effect on the trachea from a goiter. Correlation with physical exam and/or non-emergent thyroid ultrasound is recommended.", "role": "assistant" } ]
[ "../images/415af9ca-d0b69fbe-b3b8dfa6-271f3f0f-5592cc53.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": "Continued mild CHF and bibasilar opacities with small effusions. However, overall improved compared with one day earlier.", "role": "assistant" } ]
[ "../images/b057552d-dcaef0e0-258a2453-37c600b2-d8d2b31f.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. Midline sternotomy wires and mediastinal clips are again noted. The previously noted Port-A-Cath has been removed. The lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. Cardiomediastinal silhouette is stable. Bony structures are intact. No free air below the right hemidiaphragm is seen.", "role": "assistant" } ]
[ "../images/783fc94d-12b747b1-600f2e10-c1c51d2a-97240f95.jpg", "../images/ebd066f6-f32177f2-c211270d-aeb7bae8-f4b6d9a2.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 findings in the chest.", "role": "assistant" } ]
[ "../images/783fc94d-12b747b1-600f2e10-c1c51d2a-97240f95.jpg", "../images/ebd066f6-f32177f2-c211270d-aeb7bae8-f4b6d9a2.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 earlier the same day at 4:57 p.m. There has been interval placement of a right-sided chest tube. Left-sided chest tube is again seen with some persistent left basilar pneumothorax. Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures which are better characterized by CT scan.", "role": "assistant" } ]
[ "../images/f34b54f3-3411a2b2-3a5da560-5493a7e6-699dc4af.jpg", "../images/f5108618-8f9b67ff-661df382-f791f1ad-7a660047.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. The cardiomediastinal and hilar contours are unremarkable. There is moderate aortic tortuosity, unchanged. A small right-sided pleural effusion is unchanged. There is no pneumothorax. Sternotomy wires are intact. Multiple fractures in early stages of healing are noted in the right rib cage.", "role": "assistant" } ]
[ "../images/2491ec8e-8e052c65-0d21c67c-66194ee7-56ad6f43.jpg", "../images/f7349b90-c86e0ac7-2794b96b-e665dc2a-b3f47921.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 small right sided pleural effusion.", "role": "assistant" } ]
[ "../images/2491ec8e-8e052c65-0d21c67c-66194ee7-56ad6f43.jpg", "../images/f7349b90-c86e0ac7-2794b96b-e665dc2a-b3f47921.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "As compared to the previous radiograph, there is unchanged evidence of bilateral chest tubes. Known rib fractures, known soft tissue gas accumulations bilaterally. The presence of a minimal right apical pneumothorax cannot be excluded. No evidence of tension. Minimal fluid overload, borderline size of the cardiac silhouette. No focal parenchymal opacity suggesting pneumonia.", "role": "assistant" } ]
[ "../images/ca418dad-d4092480-3bf56e1f-9b920db8-8b8361de.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Single frontal view of the chest was obtained. The heart is of normal size with stable cardiomediastinal contours. A small right pleural effusion is similar to the exam 10 hours prior. No focal consolidation or pneumothorax. There is small atelectasis at the right base. Chronic-appearing right rib fractures are similar to prior. Sternotomy wires and mediastinal clips are intact.", "role": "assistant" } ]
[ "../images/a160eb01-5f36fb58-b0a04a57-1773448e-934b5036.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 relevant change from study 10 hours prior. Stable small right pleural effusion.", "role": "assistant" } ]
[ "../images/a160eb01-5f36fb58-b0a04a57-1773448e-934b5036.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Single portable view of the chest is compared to previous exam from earlier the same day at 2:38 p.m. There has been interval placement of a left-sided chest tube projecting over the left lower hemithorax. There is overlying subcutaneous gas. Lucency still persists adjacent to the mediastinum on the left. Otherwise, there has been no change. Multiple right-sided rib fractures are better seen on the prior exam.", "role": "assistant" } ]
[ "../images/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Interval placement of a left-sided chest tube projecting over the left hemithorax.", "role": "assistant" } ]
[ "../images/9fd949c5-ac707f23-cce74dc3-069335d6-c3d02d66.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 right and left chest tubes have been removed. Lung volumes have increased, likely reflecting improved inspiration. The pre-existing miniscule right apical pneumothorax is no longer clearly visible. Unchanged mild air collections in the left and right perithoracic soft tissues. Minimal atelectasis at the right lung base. Borderline size of the cardiac silhouette, no pulmonary edema. Normal hilar and mediastinal structures. Unchanged proximal right clavicular fracture.", "role": "assistant" } ]
[ "../images/d7203332-f3c8731e-27d35dc0-3cacfa03-24d07da7.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 upright chest radiograph obtained. Midline sternotomy wires and mediastinal clips are again noted. There has been interval placement of a right IJ central venous catheter with its tip located in the distal SVC or cavoatrial junction. No pneumothorax. Otherwise, no change.", "role": "assistant" } ]
[ "../images/d50452d1-8652542d-f45133ab-196c1ef0-7bb886e0.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 most recent prior radiograph, there has been no significant change. There is no evidence of pneumothorax. Again seen is minimal bibasilar atelectasis. There is no pleural effusion or focal consolidation. The cardiac silhouette is stable, and there is mild tortuosity of the aorta. Median sternotomy wires and clips are unchanged. Subcutaneous air in the left soft tissues is again seen.", "role": "assistant" } ]
[ "../images/ddace369-8c8f0353-59316221-492cdda4-f6bfe724.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No significant interval change.", "role": "assistant" } ]
[ "../images/ddace369-8c8f0353-59316221-492cdda4-f6bfe724.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Single portable view of the chest at 4:57 p.m. is compared to previous exam from earlier the same day at 4:10 p.m. Left-sided chest tube is seen with tip projecting over the left lung apex. Although there is increased lucency in the left hemithorax, no discrete pleural line is identified based on this supine film. There is left chest wall subcutaneous gas seen. Otherwise, there has been no change.", "role": "assistant" } ]
[ "../images/3056f052-ff3c284f-0d46f60a-7d4ee6af-498142fb.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Left-sided chest tube now seen with tip overlying the left lung apex.", "role": "assistant" } ]
[ "../images/3056f052-ff3c284f-0d46f60a-7d4ee6af-498142fb.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 little change. Currently, there is no evidence of pneumothorax. The lung volumes are normal. Only at the right lung base, minimal atelectasis is seen. The image shows absence of pleural effusions and pulmonary edema. Unchanged borderline size of the cardiac silhouette with moderate tortuosity of the thoracic aorta. The soft tissue air collection in the right chest wall is constant. Unchanged sternal wires and clips after CABG.", "role": "assistant" } ]
[ "../images/8069ee50-f6767717-3fd52486-9653f799-3d94d99b.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 a small apical pneumothorax on the right, there may be minimal residual basilar pneumothorax. Extensive subcutaneous gas is seen bilaterally, much more prominent on the left.", "role": "assistant" } ]
[ "../images/e1e69a8a-e168c0b4-3d6c41a5-108dc21b-9f8205cd.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": "PA and lateral chest compared to ___: Small right pleural effusion, minimally larger than on ___. No pneumothorax. Lungs essentially clear. Marked enlargement and distortion of the cardiac silhouette by adjacent tumor is a longstanding phenomenon. There is no evidence of any hemodynamically significant pericardial involvement.", "role": "assistant" } ]
[ "../images/1cdaf07a-2bc25a95-58bb06b1-543156aa-39b0b6ef.jpg", "../images/6f744c64-76048e33-0a6b6296-ba8a6a80-99b1a871.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 evidence of pneumothorax. Persistent bilateral layering pleural effusions. A right lateral pleural thickening which may represent fluid or possibly involvement to the patient's known metastatic melanoma. Right hilar mass obscures the cardiac and mediastinal contours and limits evaluation of the right mid and lower lung. Right peripheral mid lung opacity most likely represents fluid loculated within the horizontal fissure. No evidence of pulmonary edema. Patchy opacity at the left base most likely represents compressive atelectasis. No pneumothorax.", "role": "assistant" } ]
[ "../images/dace8d97-bff4cdf8-b6025d03-54255fb2-666c6a31.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No evidence of pneumonia.", "role": "assistant" } ]
[ "../images/ca6c3a22-e08cabaf-4c95b666-384ca2dc-25e4e850.jpg", "../images/cb210d6d-3ad6ce76-b48e9aab-8776d3a3-60c7e96a.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": "ET tube and NG tube in satisfactory position.", "role": "assistant" } ]
[ "../images/d581d98c-1d55ec95-27066557-bcd43551-e1ff2218.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 demonstrate well-expanded lungs. In comparison to the prior study, there is interval obscuration of the right heart border and the medial right hemidiaphragm. Correlation with the lateral view suggests that this is likely due to interval development of small bilateral pleural effusions. Underlying consolidation is not excluded. No pneumothorax. Cardiomediastinal silhouette is otherwise stable. Of note, an air fluid level in a tubular structure posterior to the trachea on the lateral view is consistent with a dilated fluid-filled esophagus.", "role": "assistant" } ]
[ "../images/1b61de01-88814d7b-77532377-b7782fd0-9660b576.jpg", "../images/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.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 development of small bilateral pleural effusions. Underlying consolidation not excluded. 2. Dilated fluid-filled esophagus. Comment: Discussed with Dr. ___ by Dr. ___ at 10:40 am on ___.", "role": "assistant" } ]
[ "../images/1b61de01-88814d7b-77532377-b7782fd0-9660b576.jpg", "../images/1908e913-d3051cf7-34f98451-4ed66f58-15582c1d.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 decreased. There is no evidence of mild-to-moderate pulmonary edema, associated with a likely small pleural effusion on the right. Newly occurred atelectasis at the right lung base. No other focal parenchymal opacities. At the time of dictation and observation, the referring physician, ___. ___ was paged for notification on ___, 11:49 a.m. (covered by Dr. ___).", "role": "assistant" } ]
[ "../images/9d1a91d8-eb3582a2-bb42cc96-d27dd42d-b5592d9f.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": "1 AP view. There is evidence for increased density in the retrocardiac area in the left hemidiaphragm is indistinct. The lung bases are partially obscured by extensive costochondral calcification. The costophrenic sulci are blunted. Bronchovascular markings are mildly increased, as before. The heart and mediastinal structures are unchanged as well. A double-lumen right internal jugular catheter has been inserted and terminates in the region of the lower superior vena cava.", "role": "assistant" } ]
[ "../images/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.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": "Continued evidence of mild pulmonary vascular congestion and small pleural effusions. There is a suggestion of increased density in the retrocardiac area. This region could be better assessed by a lateral view if clinically indicated. A double-lumen right internal jugular catheter is in central position.", "role": "assistant" } ]
[ "../images/669b4965-be67a9dd-0ba00b96-3ed4d288-597c3f17.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 endotracheal tube has been pulled back. The tip of the tube now projects 4 cm above the carina. There is increasing diffuse opacity at the left lung base, likely caused by a small pleural effusion. No other relevant changes. No pneumothorax. Unchanged aspect of the cardiac silhouette.", "role": "assistant" } ]
[ "../images/4d91911d-7ed6ea7f-18ae148c-fb6fdc45-798771a7.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "AP chest compared to ___: Feeding tube with a wire stylet in place ends in the lower esophagus and would need to be advanced at least 16 cm to move all the side ports into the stomach. Dr. ___ was paged as requested. Moderate bilateral pleural effusions and left lower lobe atelectasis have worsened. Upper lungs are clear. Heart size normal. No pneumothorax. Probe is unchanged in position at the gastroesophageal junction and a nasogastric drainage tube still ends in the upper esophagus. Right internal jugular line tip is low in the SVC. ET tube in standard placement. No pneumothorax.", "role": "assistant" } ]
[ "../images/17a4c65c-8f68be50-5b78a88f-cd9137d8-d43edd4b.jpg", "../images/48d78c08-a2ca4095-efd2e551-da6b1010-e90a62ef.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "In comparison with the study of ___, there has been placement of an orogastric tube that extends into the upper stomach. The side hole is just distal to the esophagogastric junction. Other monitoring and support devices remain in place. Little change in the bilateral parenchymal opacification, partly due to atelectasis and partly to pulmonary edema.", "role": "assistant" } ]
[ "../images/63f5ab00-ca3eaded-279304bf-6d6bfcb6-52295e79.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 cardiac silhouette size is within normal limits. The mediastinal and hilar contours are normal. The pulmonary vascularity is not engorged. Streaky bibasilar airspace opacities likely reflect atelectasis. There is no pleural effusion or pneumothorax. No acute osseous abnormality is identified. Calcified vessels are seen within the left upper abdomen.", "role": "assistant" } ]
[ "../images/1e457cbb-b441fc85-d8d29551-0cb1fed9-15dee5bd.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 bibasilar atelectasis.", "role": "assistant" } ]
[ "../images/1e457cbb-b441fc85-d8d29551-0cb1fed9-15dee5bd.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. Lungs are clear bilaterally. No effusion or pneumothorax is seen. Cardiomediastinal silhouette is stable. Bony structures are intact.", "role": "assistant" } ]
[ "../images/0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652.jpg", "../images/9b9401ad-e590ff90-2ac696ba-9c7f78b2-661402b7.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 findings.", "role": "assistant" } ]
[ "../images/0ac370ca-d14e45b3-07c05241-b3a551b3-4cde1652.jpg", "../images/9b9401ad-e590ff90-2ac696ba-9c7f78b2-661402b7.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. The lungs are hyperinflated but clear of focal consolidation or vascular congestion. Previously bilateral effusions are no longer visualized. Cardiomediastinal silhouette, osseous and soft tissue structures are unchanged.", "role": "assistant" } ]
[ "../images/07cc20b0-f1f267b3-ec71df70-7a45f778-bf2141ac.jpg", "../images/f84cbcd6-8eef4c5e-b8c536b9-7121aa4e-7233d805.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Interval resolution of previously seen layering effusions. No acute cardiopulmonary process.", "role": "assistant" } ]
[ "../images/07cc20b0-f1f267b3-ec71df70-7a45f778-bf2141ac.jpg", "../images/f84cbcd6-8eef4c5e-b8c536b9-7121aa4e-7233d805.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": "Right upper and right and left lower lobe opacities are concerning for pneumonia.", "role": "assistant" } ]
[ "../images/5f7c7fb3-6f209488-379bbb42-6c8cebf3-f91a4d93.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. CAD patch over the left hemithorax leads to increased opacity. Unchanged size of the cardiac silhouette. Unchanged appearance of the lung parenchyma. No pneumothorax.", "role": "assistant" } ]
[ "../images/0d41d944-b75b4101-f204d112-11fcfa1c-96d2169d.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 tip of the Dobbhoff tube extends to about the level of the ligament of Treitz. Endotracheal tube has been removed and the right IJ catheter extends to the lower SVC or upper right atrium. There is some increased opacification in both lower zones. Some of this reflects volume loss in the left lower lobe with probable vascular congestion. In the appropriate clinical setting, possibility of supervening pneumonia would have to be seriously considered.", "role": "assistant" } ]
[ "../images/b32da72c-ae689a0b-86c6297f-a34fb19e-fafd4351.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Moderate bilateral pleural effusion, left-greater-than-right, increased since ___. Pulmonary vascular congestion borderline pulmonary edema and mild to moderate cardiac enlargement are unchanged.", "role": "assistant" } ]
[ "../images/aaae2ccb-5195b34a-97d13c9d-2f9ad735-44a7d31a.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Frontal and lateral views of the chest were obtained. The lungs are hyperinflated/well expanded. Costochondral calcification is noted. No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are stable.", "role": "assistant" } ]
[ "../images/d2dc716d-a9421294-0f30f0db-ef17232a-0cb5f249.jpg", "../images/c3eeff7f-5128e28a-d1f3fadb-2db97e3e-c47fbc96.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No acute cardiopulmonary process.", "role": "assistant" } ]
[ "../images/d2dc716d-a9421294-0f30f0db-ef17232a-0cb5f249.jpg", "../images/c3eeff7f-5128e28a-d1f3fadb-2db97e3e-c47fbc96.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 radiograph of the chest demonstrates stable mild enlargement of the cardiac silhouette. Normal mediastinal and hilar contours. Compared to the prior study of ___ the bilateral pleural effusions have resolved. No focal consolidation or pneumothorax present. No pulmonary edema. The lungs remain hyperinflated.", "role": "assistant" } ]
[ "../images/693bd533-69dbe685-2d5a9d4a-dfb5e67b-2b70b394.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 top normal. The hilar and mediastinal contours are normal. The lungs are hyperinflated, otherwise no focal consolidations concerning for pneumonia are identified. Mild left basilar linear atelectasis/ scarring is again seen. There is no pneumothorax or pleural effusion. Incidental note is made of a 9 mm lung nodule projecting over the right anterior second rib interspace. Aortic annular calcifications are again noted. Old healed left lower lobe rib fractures are stable.", "role": "assistant" } ]
[ "../images/4959ec06-3033b29d-dd25c873-29db3da3-339923d6.jpg", "../images/959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. No acute intrathoracic abnormalities identified. Hyperinflated lungs. 2. 9 mm lung nodule projecting over the anterior second right rib interspace, was not well seen on the prior exam. A CT may be helpful for further evaluation. 3. Extensive aortic annular calcifications raise concern for aortic stenosis. NOTIFICATION: ___ were d/w Dr. ___ by Dr. ___ by phone at ___:___A on the day of the exam.", "role": "assistant" } ]
[ "../images/4959ec06-3033b29d-dd25c873-29db3da3-339923d6.jpg", "../images/959ee516-d090d9d5-a95977ac-303cdde2-c9309e8c.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": "This radiograph was obtained for purposes of assessing a Dobbhoff tube placement. The tube is identified to the level of the distal stomach, but the radiograph does not include the lower abdomen, and the tip cannot be visualized for this reason. Additional abdominal radiograph may be helpful for this purpose if warranted clinically. Exam is otherwise remarkable for moderate partially layering pleural effusions bilaterally, with adjacent lower lobe atelectasis and/or consolidation.", "role": "assistant" } ]
[ "../images/db9446ce-77c54de3-b0148302-3a4c913e-fe9db438.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There is a new asymmetric perihilar opacification of the right mid lung. This is superimposed on moderate bilateral pleural effusions, similar to increased on the right and perhaps somewhat decreased on the left. Increased opacification at the right lung base may also reflect increasing atelectasis associated with a pleural effusion, although an area of infection is not excluded. Pulmonary vessels show upper zone redistribution and Kerley lines are present suggesting coinciding mild congestive heart failure but generally similar in extent.", "role": "assistant" } ]
[ "../images/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.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 large area of focal right perihilar opacification, superimposed on pleural effusions as well as findings associated with mild pulmonary edema. The asymmetry suggests superimposed pneumonia as the etiology, or perhaps aspiration in the appropriate clinical setting; alternatively asymmetric pulmonary edema could be considered. Short-term follow-up radiographs may be helpful to reassess.", "role": "assistant" } ]
[ "../images/a2c767ad-f88d5b23-c8ac6a06-187b6f12-31b3b997.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 cardiac silhouette appears slightly increased in size and is accompanied by pulmonary vascular congestion and minimal interstitial edema. A new more confluent opacity in the left lower lobe could reflect atelectasis, aspiration, or developing infectious pneumonia. Small left pleural effusion is also demonstrated.", "role": "assistant" } ]
[ "../images/b68a7d7b-d7e76417-af2376cd-215c9620-c3934be4.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Frontal and lateral views of the chest were obtained. There are small-to-moderate bilateral pleural effusions with overlying atelectasis. Mild-to-moderate interstitial edema is also seen. No evidence of pneumothorax is seen. There is minimal biapical pleural thickening. Accurate assessment of the cardiac silhouette size is difficult due to the bilateral pleural effusions.", "role": "assistant" } ]
[ "../images/8c7ee112-c1f78575-59746254-e217c9f2-81146a87.jpg", "../images/430828eb-7dec0d0c-7b255eae-3baecf25-4a61cddb.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-to-moderate bilateral pleural effusions with overlying atelectasis along with interstitial edema consistent with fluid overload.", "role": "assistant" } ]
[ "../images/8c7ee112-c1f78575-59746254-e217c9f2-81146a87.jpg", "../images/430828eb-7dec0d0c-7b255eae-3baecf25-4a61cddb.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "The lungs are hyperinflated but clear of consolidation. Nodular opacities at the lung bases are compatible with nipple shadows as opposed to pulmonary nodules. Cardiac silhouette is unchanged. Mitral annular calcifications are again noted. Old healed left lower rib fractures are again noted", "role": "assistant" } ]
[ "../images/e16c6579-54ecb6ea-36f5604a-17768f0e-38552f87.jpg", "../images/711d6472-5ff3166e-7741ea62-00213982-c3a8a67b.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No acute cardiopulmonary process.", "role": "assistant" } ]
[ "../images/e16c6579-54ecb6ea-36f5604a-17768f0e-38552f87.jpg", "../images/711d6472-5ff3166e-7741ea62-00213982-c3a8a67b.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "The lungs are hyperinflated but without focal consolidation. No pleural effusion or pneumothorax is seen. Minor left basilar linear atelectasis/scarring is again seen. The cardiac and mediastinal silhouettes are stable and unremarkable.", "role": "assistant" } ]
[ "../images/c230ce72-acc26270-caefebe0-f6b07913-7033227d.jpg", "../images/1acc1625-728d2db7-b8853e51-999862bf-424f50b8.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. No significant interval change.", "role": "assistant" } ]
[ "../images/c230ce72-acc26270-caefebe0-f6b07913-7033227d.jpg", "../images/1acc1625-728d2db7-b8853e51-999862bf-424f50b8.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": "Known COPD. The pre-existing parenchymal opacity, best visible on the lateral radiograph projecting over the spine, has decreased in extent and density. The change is still visible but substantially more subtle than on the previous exam. Known COPD, status post CABG and pacemaker implant. Borderline size of the cardiac silhouette, tortuosity of the thoracic aorta.", "role": "assistant" } ]
[ "../images/89759821-5078bd23-fe386ea6-806c0e14-2ce65596.jpg", "../images/16ab4ad2-7d949b6c-7915355a-323ac15e-a86485d8.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": "PA and lateral chest compared to ___ and ___: Moderate cardiomegaly, enlargement of the pulmonary arteries suggesting pulmonary hypertension and hyperinflation of the lungs due to emphysema and/or chronic small airways obstruction, but not changed since at least ___. What has varied is the radiodensity of heterogeneous opacification at both lung bases, more pronounced today than earlier, and concerning for bibasilar pneumonia, particularly due to aspiration. Pleural effusion is minimal if any. Pulmonary edema is probably not present. A transvenous right ventricular pacer lead runs a course through the right ventricle close to the pulmonary outflow tract rather than the floor. No pneumothorax.", "role": "assistant" } ]
[ "../images/e5822893-231eaf6f-c8d964ad-3817fd52-61b5af42.jpg", "../images/f1d7a33f-97b3e1ba-be1a44ac-71070a83-8b315e83.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 left lower lobe pneumonia has resolved. Median sternotomy wires and pacer are noted. Moderate cardiomegaly is unchanged.", "role": "assistant" } ]
[ "../images/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg", "../images/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.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": "Resolved left lower lobe pneumonia.", "role": "assistant" } ]
[ "../images/3c984a21-5a881f57-e820aa5e-d952daa1-132c0976.jpg", "../images/c2e3e4cd-fd889116-52b37c72-db4f46df-52939006.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. Left-sided pacemaker is unchanged in position. Sternotomy wires and upper mediastinal clips are stable. Right mid to upper lung opacity have decreased significantly. No pleural effusion or pneumothorax. No new consolidations.", "role": "assistant" } ]
[ "../images/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg", "../images/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.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. Resolving right upper lobe consolidation. If concern for central obstructing mass, follow up films can be obtained for further assessment.", "role": "assistant" } ]
[ "../images/b683c297-030af2a3-59abdf94-e6a7b694-cc4b7e31.jpg", "../images/c438aa58-0a039112-e4e8fe88-99a21dd7-1f22535d.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": "Both lungs are well expanded with mild flattening of the bilateral hemidiaphragm and increased AP diameter of the chest consistent with chronic pulmonary disease. Bilateral prominent pulmonary arteries raise the concern for pulmonary artery hypertension. An ill-defined opacity is seen in posterior lower lung in the retrocardiac region overlying the lower spine and is concerning for pneumonia. This opacity is not very well defined on the frontal view except for a faint opacity in the right lower paracardiac region. A single pacemaker lead from left pectoral pacemaker device terminates into the right ventricle. Top normal heart size, mediastinal and hilar contours are unchanged since ___. Mild atherosclerotic calcification of the aortic arch is stable.", "role": "assistant" } ]
[ "../images/ef9e6f59-22103c28-5c2c7bc8-a2d07454-4c824d0e.jpg", "../images/ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73.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. Ill-defined opacity appreciated only on the lateral view in the posterior inferior lower lung overlying the spine shadow is concerning for pneumonia and since it is not clearly defined on the frontal view, it suggests lower lobe pneumonia either involving the right or left side. 2. COPD. 3. Pulmonary artery hypertension, unchanged since ___. Findings were discussed with Dr. ___ on ___ at 5:55 p.m.", "role": "assistant" } ]
[ "../images/ef9e6f59-22103c28-5c2c7bc8-a2d07454-4c824d0e.jpg", "../images/ce3a9dd6-9affc487-1b6847b3-9f555332-e0baea73.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 upright view of the chest was provided. Midline sternotomy wires are again noted. There is a left chest wall pacer with lead tip in the region of the right ventricle. The heart is top normal in size. The mediastinum is slightly prominent, stable, reflecting an unfolded thoracic aorta. Aortic calcifications are present. Increased perihilar opacity is noted as well as consolidation containing an air bronchogram within the right upper lobe. Findings are concerning for pneumonia. No effusion is seen. There is no pneumothorax. The bony structures appear intact.", "role": "assistant" } ]
[ "../images/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.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": "Perihilar and right upper lobe consolidation concerning for pneumonia.", "role": "assistant" } ]
[ "../images/0dbe8ef1-802b094a-36fae3c2-0d15af98-7a5547ab.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "A right internal jugular catheter tip projects within the mid SVC. A right basilar Pleurx catheter is in stable position. Since the prior examination, there is increased apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. There is improvement in bibasilar opacification, likely atelectases. In addition, there is improvement in pulmonary vascular engorgement. There is no evidence of pneumothorax. The cardiomediastinal and hilar contours are stable.", "role": "assistant" } ]
[ "../images/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.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. Apparent lucency demonstrated in the left aspect of the aortic knob, that though may be projectional, pneumomediastinum cannot be excluded. If of clinical concern, chest CT can be performed. 2. Interval improvement in interstitial edema and bibasilar atelectasis. Findings were discussed with Dr. ___ at 4:20 p.m. on ___ via telephone by Dr. ___.", "role": "assistant" } ]
[ "../images/9678dc02-54a05e84-f5efffa5-bc62e0a2-83dac014.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. Right internal jugular central line has its tip in the superior vena cava. A right basilar pigtail catheter has been placed and is incompletely visualized on the current examination. 2. Interval decrease in size of a right pleural effusion with residual patchy basilar opacity, which could reflect residual compressive atelectasis, reexpansion pulmonary edema, contusion, and less likely pneumonia. Persistent left pleural effusion with retrocardiac opacity, which most likely reflects partial lower lobe compressive atelectasis, although pneumonia cannot be excluded. No evidence of pulmonary edema. No pneumothorax. Heart remains enlarged. Cervical fusion hardware is seen projecting over the mid cervical spine.", "role": "assistant" } ]
[ "../images/e53aee72-582b01ea-a370ca39-62ce5b25-e0eed2b3.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "AP chest compared to ___ at 11:05 p.m. There is no pneumothorax. Moderate right pleural effusion is stable. Small left pleural effusion and left lower lobe atelectasis or consolidation have increased. The cardiac silhouette is moderately enlarged. The pulmonary vasculature is normal and there is no pulmonary edema. Right jugular line ends in the upper SVC.", "role": "assistant" } ]
[ "../images/57b2666a-699fa6ab-57992ba2-54520a2e-7ee60ae6.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. Mild-to-moderate pulmonary edema with left pleural effusion and subsequent left basal and retrocardiac atelectasis. The pigtail catheter at the bases of the right hemithorax. No evidence of pneumothorax, but areas of right basal atelectasis are present. Moderate cardiomegaly. No interval appearance of new parenchymal opacities.", "role": "assistant" } ]
[ "../images/4fe3e961-a3a02576-db1e637e-60077803-2a154636.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": "Severe cardiomegaly is unchanged. The mediastinal and hilar contours are similar. There is mild pulmonary vascular engorgement, also unchanged. Bibasilar airspace opacities could reflect atelectasis though infection or aspiration cannot be excluded. No large pleural effusion or pneumothorax is seen.", "role": "assistant" } ]
[ "../images/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.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 engorgement and bibasilar opacities possibly reflecting atelectasis but infection or aspiration cannot be excluded.", "role": "assistant" } ]
[ "../images/7e96d7f1-3095daed-1e42c172-37ea991c-747f03a3.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Low lung volumes are again noted. There are however persistently increased interstitial markings which appear slightly progressed compared to prior. There is no pleural effusion. The cardiac silhouette is enlarged, as on prior. Left subclavian stent is again seen.", "role": "assistant" } ]
[ "../images/4a834d65-3c7a5557-474061e3-4903563c-7ac8bfb4.jpg", "../images/e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Pulmonary edema is slightly worse than on recent exam.", "role": "assistant" } ]
[ "../images/4a834d65-3c7a5557-474061e3-4903563c-7ac8bfb4.jpg", "../images/e2639104-28411e18-bfafdd6f-8f7fed3a-0801198b.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 to moderate vascular congestion has increased. Bibasilar atelectasis have increased. If any there is a small right effusion. No other interval change from prior study.", "role": "assistant" } ]
[ "../images/3b45981c-22a218c1-895088c8-70cb300c-bb013a16.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 dialysis catheter terminates in the right atrium. There is a vascular stent projecting over the left chest apex which probably corresponds to a left subclavian venous stent. The heart is again moderately enlarged. The lung volumes are low. There is no pleural effusion or pneumothorax. The lungs appear clear.", "role": "assistant" } ]
[ "../images/23fdc685-8851eb9b-b5ee438b-0f486c37-4677e1ed.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No evidence of acute disease.", "role": "assistant" } ]
[ "../images/23fdc685-8851eb9b-b5ee438b-0f486c37-4677e1ed.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": "Interval intubation with tip of endotracheal tube terminating 6 cm above the carinal appear cardiomegaly is accompanied by pulmonary vascular engorgement and development of severe diffuse airspace disease throughout the right lung and patchy multifocal airspace opacities in the left lung. Differential diagnosis includes multifocal pneumonia, widespread aspiration, pulmonary hemorrhage, and or pulmonary edema. Small right pleural effusion is present. There is no visible pneumothorax.", "role": "assistant" } ]
[ "../images/725ce4e7-a90bd488-7d02e68e-cc962d79-450af597.jpg", "../images/edbccca2-c4fb443b-76458df4-ebb5c146-da6f90f7.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There is mild-to-moderate interstitial pulmonary edema. The heart is moderately enlarged but not significantly changed in size compared to ___. No definite pleural effusions are seen. There is no pneumothorax.", "role": "assistant" } ]
[ "../images/92ca8ae9-3cd416c1-c8b97c65-2d1a7560-3a11ae68.jpg", "../images/b9b0faea-d88909df-ccb8ac50-f67497d4-7c320ffb.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Mild-to-moderate pulmonary edema, likely cardiogenic.", "role": "assistant" } ]
[ "../images/92ca8ae9-3cd416c1-c8b97c65-2d1a7560-3a11ae68.jpg", "../images/b9b0faea-d88909df-ccb8ac50-f67497d4-7c320ffb.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There continues to be severe cardiomegaly and low lung volumes. Aeration in the right is improved, but there continues to be areas of volume loss/infiltrate in both lower lungs. Overall, the fluid status is slightly improved compared to the study from the prior day. An underlying infectious infiltrate, particularly in the lower lobes cannot be excluded.", "role": "assistant" } ]
[ "../images/da734734-eed7fe7d-743a3acd-22fb50e8-3bafca7a.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "In comparison with the study of ___, there is continued substantial enlargement of the cardiac silhouette with elevated pulmonary venous pressure. Probable bilateral layering pleural effusions with compressive atelectasis at the bases. In the appropriate clinical setting, supervening pneumonia would have to be seriously considered.", "role": "assistant" } ]
[ "../images/021e1de7-890774b9-f2aa1f31-53b8b7b8-eb9c4fd2.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": "Endotracheal tube tip terminates approximately 2.6 cm from the carina. Orogastric tube is seen coursing below the diaphragm, with the tip not well visualized. The heart remains severely enlarged. There is mild pulmonary edema which has progressed compared to the previous study with a probable layering left pleural effusion. Persistent bibasilar airspace opacities again may reflect atelectasis, aspiration or infection. There is no large pneumothorax on this supine study.", "role": "assistant" } ]
[ "../images/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.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": "Low lying endotracheal tube with tip terminating approximately 2.6 cm above the carina. Orogastric tube courses below the diaphragm. Worsening mild pulmonary edema with layering left pleural effusion.", "role": "assistant" } ]
[ "../images/b53f680b-da2b71cb-81533dc8-2bfa0ee3-f1450be5.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 hemodialysis catheter has been removed. Severe cardiomegaly with moderate pulmonary fluid overload persists, larger pleural effusions are not present. There currently is no indication for pneumonia. No pneumothorax.", "role": "assistant" } ]
[ "../images/c87c7c06-4d0a740d-c4c78513-1e63bfe1-7b9e08f8.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Interval continue worsening of moderate pulmonary edema. Increasing small bilateral effusions. No other interval change from prior study.", "role": "assistant" } ]
[ "../images/b32d0041-1490ad2c-bb80e629-0738da5e-cd128891.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "The ET tube terminates 3.9 cm above the carina. There is an enteric tube which extends well below the diaphragm. Again seen is severe cardiomegaly, stable since at least ___. The lung volumes continued to be low with evidence of elevated pulmonary venous pressure and moderate bilateral pleural effusions, left greater than right. There appears to be slight interval worsening of the bibasilar atelectasis. There is no evidence of a pneumothorax. Note is again made of stable elevation of the right hemidiaphragmatic contour.", "role": "assistant" } ]
[ "../images/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.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 interval worsening of atelectasis at the left lung base. Stable moderate bilateral pleural effusions, left greater than right.", "role": "assistant" } ]
[ "../images/b740f79e-73da2f17-0d2dac03-2e639b9e-4e01c770.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 ___: Moderate-to-severe cardiomegaly is chronic. There is no pulmonary edema today or focal consolidation to suggest pneumonia. Conventional radiographs would probably be more revealing than bedside studies. Pleural effusion minimal if any. No evidence of central lymph node enlargement.", "role": "assistant" } ]
[ "../images/b68909bd-ab26c600-5bce4577-31a3f9ad-8bac4c2c.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": "Moderate cardiomegaly is all stable compared to the prior exams dated back to at least ___. There has been an interval increase in bilateral moderate pulmonary edema with interstitial thickening and perihilar vascular congestion compared to the prior exam from ___. There may be small bilateral pleural effusions. There is no evidence of pneumothorax. The visualized osseous structures are unremarkable. Note is made of a left subclavian stent, overall unchanged in position compared to the prior exam.", "role": "assistant" } ]
[ "../images/9748d26b-62549e8c-0a4fec22-48ae4480-691c7013.jpg", "../images/d033edb1-1744b059-8b3505f6-da4c0458-f924f28a.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 pulmonary edema, overall increased compared to the prior exam from ___.", "role": "assistant" } ]
[ "../images/9748d26b-62549e8c-0a4fec22-48ae4480-691c7013.jpg", "../images/d033edb1-1744b059-8b3505f6-da4c0458-f924f28a.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 inspiratory lung volumes are low. The cardiac silhouette is moderately enlarged, but stable from the prior study. The mediastinal and hilar contours are not significantly changed from the prior radiograph allowing for patient rotation on the current examination. No significant pleural effusion or pneumothorax is detected. A small amount of fluid is noted in the right minor fissure. Mild pulmonary edema is present. A right dual-chamber dialysis catheter is in position with the tip terminating at the cavoatrial junction or proximal right atrium. The visualized upper abdomen is gasless.", "role": "assistant" } ]
[ "../images/661279e3-b9fc21ed-ba997fbe-35d448a8-8bd6bb70.jpg", "../images/2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Mild pulmonary edema. Moderate cardiomegaly.", "role": "assistant" } ]
[ "../images/661279e3-b9fc21ed-ba997fbe-35d448a8-8bd6bb70.jpg", "../images/2386d449-ff60da90-15b0f79f-2a63ae3d-146cb799.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Two frontal images of the chest were obtained. This exam is limited by underpenetration due to patient's body habitus and by rotation of the patient. There is increased vascular congestion since previous imaging. The right IJ catheter is seen with the tip in the mid to low SVC. No pneumothorax or other complications are identified. The relative radiolucency of the left lung compared to the right lung is likely an artifact secondary to patient rotation. There is no clear evidence of pleural effusion on this exam. Cardiomediastinal silhouette is unchanged.", "role": "assistant" } ]
[ "../images/525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df.jpg", "../images/44b39923-9d6f063d-3ef99de3-ab938e13-74a61c9b.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": "Worsening pulmonary vascular congestion. New right IJ line with tip in the mid to low SVC.", "role": "assistant" } ]
[ "../images/525f290c-cf5cb6e5-11ee38a0-a2a67848-2f55c7df.jpg", "../images/44b39923-9d6f063d-3ef99de3-ab938e13-74a61c9b.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, there is no evidence of pneumothorax. Little change in the appearance of the heart and lungs with continued low lung volumes, moderate cardiomegaly, elevated pulmonary venous pressure, and bilateral pleural effusions, more prominent on the left.", "role": "assistant" } ]
[ "../images/a960626f-d83c011c-0418381e-d4cf2323-e82c0290.jpg" ]
mimic_findings