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[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "There is a new left subclavian line with tip at the cavoatrial junction. Lung volumes are low. The right lower lobe opacities unchanged. There continues to be cardiomegaly, pulmonary vascular redistribution, ill-defined vascularity, and retrocardiac opacity compatible with CHF. The NG tube and large bore right IJ line are unchanged. The ET tube is 2 cm above the Carina. There is no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd.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 central line. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/e38221a2-36d9eedb-5a9af804-2eba7cb0-ea8d7ffd.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 chest radiographs demonstrate persistent but improved pulmonary edema with right lower lobe opacification concerning for pneumonia. Right pleural effusion is presumed but not substantial. The left lung is grossly clear with no focal consolidations. Multiple pulmonary nodules are better visualized on the prior CT dated ___. Cardiomegaly is chronic.",
"role": "assistant"
}
] |
[
"../images/7f8f6ec3-a3e29283-ecbe579b-2cc82a1b-8ba750a6.jpg",
"../images/1e3926d7-a660ecde-c6e6282e-98039f5e-6c6714c8.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. Mildly improved pulmonary edema. 2. Possible right lower lobe pneumonia.",
"role": "assistant"
}
] |
[
"../images/7f8f6ec3-a3e29283-ecbe579b-2cc82a1b-8ba750a6.jpg",
"../images/1e3926d7-a660ecde-c6e6282e-98039f5e-6c6714c8.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 prior study there is interval increase in the cardiomegaly and pulmonary vascular redistribution. There are patchy areas of alveolar infiltrate bilaterally compatible with fluid overload. The ET tube is 5.7 cm above the carinal. Large bore catheter tip is in the right atrium. NG tube is unchanged. No pneumothorax",
"role": "assistant"
}
] |
[
"../images/cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e.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": "Fluid overload. An underlying infectious infiltrate can't be excluded.",
"role": "assistant"
}
] |
[
"../images/cfe95f11-8443d7dd-4d3b5c96-d6c7892c-e037193e.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 ___: Lung volumes are lower exaggerating what is at least worsened moderate pulmonary edema. More focal areas of opacification in the lateral left mid lung and infrahilar right lung could be atelectasis and edema but pneumonia is of serious concern. The moderately enlarged cardiac silhouette and dilated pulmonary arteries are larger today, and there is more mediastinal vascular engorgement. Dual channel right supraclavicular central venous line ends in the upper right atrium as before. There is no appreciable pleural effusion and no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/54a9e5bc-2d3b9e9a-43c44b54-7c16e7b1-f923f86c.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "In comparison with the study of ___, there is little overall change. Continued enlargement of the cardiac silhouette with moderate-to-severe pulmonary edema. Opacification at the left base may reflect effusion and atelectasis. Hemodialysis catheter again extends to probably the upper portion of the right atrium.",
"role": "assistant"
}
] |
[
"../images/e4f6de95-2089560c-4df114b1-deac3d24-a6bc53f7.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "A portable AP upright view of the chest was obtained. Again seen is a right-sided dialysis catheter terminating in the right atrium. Heart is mildly enlarged. Pulmonary vasculature is mildly engorged. A rounded opacity at the right base, present sicne ___, may represent asymmetric pulmonary edema, but other processes such as pulmonary abscess cannot be excluded. No large effusion, or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2.jpg",
"../images/a63e169d-68ac0a93-f335ef61-a4d2e226-449d7927.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. Mildly enlarged heart and pulmonary vascular engorgement, unchanged. 2. Rounded right basilar opacity may represent asymmetric edema, but other processes such as abscess cannot be excluded. At a minimum follow up with conventional PA/Lateral radiographs is recommended, ideally CT should be considered.",
"role": "assistant"
}
] |
[
"../images/37583135-5e94d264-ff4574d6-cdb16475-77c6bbe2.jpg",
"../images/a63e169d-68ac0a93-f335ef61-a4d2e226-449d7927.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. Moderate cardiomegaly is stable. A left subclavian central venous line ends in the upper right atrium. There is no definite focal pulmonary vascular congestion and possible mild interstitial edema. Retrocardiac opacity may represent atelectasis or pneumonia. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/9763cff1-26fe3d95-bb076c42-59a33d2e-4986039e.jpg",
"../images/04c731eb-0cc43023-ab7dbb20-aaee6d1b-7d9295c9.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Moderate cardiomegaly and pulmonary vascular congestion, likely mild interstitial pulmonary edema. Retrocardiac opacity may represent atelectasis, aspiration or pneumonia.",
"role": "assistant"
}
] |
[
"../images/9763cff1-26fe3d95-bb076c42-59a33d2e-4986039e.jpg",
"../images/04c731eb-0cc43023-ab7dbb20-aaee6d1b-7d9295c9.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. There is a dialysis catheter in unchanged position with its tip extending into the right atrium. There is stable cardiomegaly with severe pulmonary edema. There are likely bilateral small effusions though these are poorly assessed. No pneumothorax. Bony structure is intact.",
"role": "assistant"
}
] |
[
"../images/26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02.jpg",
"../images/57a0b97f-9fbdd0e8-f564bcee-b913d857-a57d9530.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 development of pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/26429055-6f36df1c-a048f115-c1f04dc8-d04f9b02.jpg",
"../images/57a0b97f-9fbdd0e8-f564bcee-b913d857-a57d9530.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 endotracheal tube sits 4 cm above the carina. The endogastric tube tip sits within the stomach, although a portion of the weighted tip sits above the GE junction. The heart size is within normal limits. The mediastinal and hilar contours appear unremarkable. The lungs continue to demonstrate heterogeneous opacity in the right mid and lower portion, which may represent an area of scarring. Additionally, more scattered punctate densities throughout the right and left lung are compatible with calcified pleural plaques as confirmed by the visualized chest portion of the abdominal and pelvic CT from ___. Trace bilateral pleural effusions. There is no pneumothorax.",
"role": "assistant"
}
] |
[
"../images/39af0cd9-82745eb4-2fe05152-1dfd448e-8725c801.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. Lines and tubes as described above. 2. Right mid and lower lung scarring and trace bilateral pleural effusions.",
"role": "assistant"
}
] |
[
"../images/39af0cd9-82745eb4-2fe05152-1dfd448e-8725c801.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest compared to ___: Extensive infiltrative pulmonary abnormality in the right lower lobe, and overlying pleural calcification are longstanding, but previous pulmonary edema in this location has improved if not resolved, leaving behind a small residual right pleural effusion. The left lung base was relatively clear on ___ and also developed some edema, which has decreased since ___. Given the severe scarring in these lungs, some pneumonia could be present and not appreciated, for example, just projecting over the right hilus, but in the left lung, there is no evidence of pneumonia. ET tube is in standard placement. Feeding tube ends in the upper stomach. The heart is not enlarged. Right pleural thickening is most extensive at the apex and unchanged. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/c620517c-54116688-14dadd50-6b22f911-d5812c38.jpg",
"../images/942b87db-92f73c39-9eae876d-2731e13d-fd427d86.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 4:33 a.m. and 1:08 p.m.: New endotracheal tube in standard placement. Edema in the left lung appears less radiodense but this may be a function of better inflation following tracheal intubation. Severe right lung scarring and concurrent emphysema make it difficult to determine if a concurrent pneumonia is present. Heart size is normal. Right pleural thickening is more pronounced now than it was in ___ suggesting either a component of pleural effusion or pathologic pleural involvement.",
"role": "assistant"
}
] |
[
"../images/a66051d0-9ed3a477-30455196-064ccf0d-b667f74e.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. Right apical parenchymal opacity is unchanged in extent. The right basal parenchymal scarring is also unchanged. Minimal left parenchymal scarring. Normal size of the cardiac silhouette. No evidence of pulmonary edema, a linear lucency at the left lung apex, mimicking a pneumothorax, is in fact outside of the patient. Unchanged course and position of the monitoring and support devices.",
"role": "assistant"
}
] |
[
"../images/8a8201f1-257d3a16-561099bb-c8e95167-e3b3b8e1.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": "Moderately sever bilateral pulmonary edema has worsened in comparison to prior radiograph acquired ___ hours apart. Severe emphysema is present. No new relevant findings in the lungs. Heart size, mediastinal and hilar contours are stable.",
"role": "assistant"
}
] |
[
"../images/ad848298-a6a13b00-3540b2ac-2e0e927d-908befad.jpg",
"../images/912a9d56-c2439c24-b1aa969b-da69313c-4e3cba1f.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 ___: Minimal edema persists in the left lung. Large region of consolidation inferior to the central lungs and pleural scarring has not cleared. Heart size is normal. ET tube is in standard placement. Feeding tube ends in the upper stomach. Denser right pleural thickening is chronic, but more pronounced today than in ___. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/b8f743d0-49b92246-83708dd6-caec53a5-fa07d8f5.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest submitted for review at 4:53 p.m.: Moderate pulmonary edema unchanged since ___. Emphysema, right pleural thickening and pleural calcification have been discussed on prior and subsequent radiographic reports. Heart size is normal. ET tube in standard placement.",
"role": "assistant"
}
] |
[
"../images/e426b51e-f7222833-d8ee3136-30f0df83-872a415e.jpg",
"../images/c4927232-cfa74c6c-fb8d8e6f-931f938a-bf0ca6de.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": "Endotracheal tube terminates approximately 3.4 cm above the carina and is adequately positioned. Feeding tube is seen to course below the diaphragm into the stomach; however, distal end is out of the radiographic view. Right mid and lower lung and left lower lung opacities concerning for multifocal pneumonia have worsened since ___. An coexisting component pulmonary edema is possible. No other interval changes. Scarring in the right lower lungs and right apical dense pleural thickening are unchanged. Small bilateral pleural effusions are similar. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/360e3149-7a10216b-6b790393-8b2422b6-b3909360.jpg",
"../images/6ec78bca-9eb86302-16367715-1a68dd88-f70084c0.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": "PA and lateral chest compared to ___: Moderately severe opacification in the left mid and lower lung zones is probably edema, also affecting the right lower lung and accompanied by a moderate right pleural effusion. Emphysema is severe. Thickening of the right apical pleural surface is chronic. A large reticulated opacity projecting over the right mid lung could be unusual atelectasis or bronchiectasis or even a pleural calcification present in ___. Inferior to it is scarring in the right mid lung. ___ and I discussed the findings and their clinical significance by telephone at the time of dictation.",
"role": "assistant"
}
] |
[
"../images/744a983f-6e2d9a27-ed516cc1-1ec2dea6-d65f542b.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, the entire upper part of the chest missing on the current image. The basal parts of the right and left hemithorax are unchanged. There is bullous disease at the lung bases. The tip of the Dobbhoff catheter projects over the middle parts of the stomach. The size of the cardiac silhouette is within the upper range of normal. No evidence of pleural effusions.",
"role": "assistant"
}
] |
[
"../images/3b3f6054-b7b51547-2794e57e-2e3bac66-7d7b834b.jpg",
"../images/a9c449db-9cd2fe30-50cd41c6-aa9508ea-806361eb.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 substantially lower lung volumes which may account for much of the prominence of the transverse diameter of the heart. Obliquity of the patient makes interpretation difficult. There is opacification silhouetting the outer aspect of the left hemidiaphragm, suggesting volume loss in the lower lobe with pleural effusion. No definite vascular congestion. Specifically, there is no evidence of pneumothorax on this somewhat limited study.",
"role": "assistant"
}
] |
[
"../images/2ddeb88d-f8a15dea-6de598cd-b07bef82-d26381d6.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 ___, the endotracheal tube has been removed. The right IJ catheter tip again lies at the level of the mid portion of the SVC. Streaks of atelectasis are seen at the left base, but the lungs are otherwise essentially clear and there is no evidence of vascular congestion. Of incidental note is post-surgical or post-traumatic changes involving the distal right clavicle and several rib fractures on the right.",
"role": "assistant"
}
] |
[
"../images/0b5f3585-a53ebe18-3930e02f-271b3e7d-836cdf4a.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 focal opacity to suggest pneumonia is seen. There is bibasilar atelectasis and small bilateral pleural effusions. No pneumothorax is present. The heart size is top normal. There are remote right sided rib fractures.",
"role": "assistant"
}
] |
[
"../images/5ffe4561-fd5efe80-1fb3d78d-8d867983-fd9561af.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 prior radiograph, there is widened appearance of the mediastinum which may be technical in nature. Lung volumes are low and there is bilateral atelectasis at the bases. There is no pleural effusion or definite focal consolidation. There may be some mild pulmonary congestion. Post-traumatic changes are seen at the distal right clavicle.",
"role": "assistant"
}
] |
[
"../images/42f9b759-e6e7ad97-975fc45e-f1a03ce4-1f252352.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. Widened appearance of the mediastinum. Recommend repeat upright PA radiograph when patient is more stable. 2. Atelectasis at the bases and low lung volumes. Possible mild pulmonary congestion. These findings were discussed with ___ by Dr. ___ ___ telephone at 12:30 p.m.",
"role": "assistant"
}
] |
[
"../images/42f9b759-e6e7ad97-975fc45e-f1a03ce4-1f252352.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": "Mild bibasilar atelectasis.",
"role": "assistant"
}
] |
[
"../images/06381bf5-e227679d-9f9965ef-dbbb229c-281230a2.jpg",
"../images/6a31f7f3-592b6144-a0b7e38c-d11761b4-bd2bf9e3.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Moderate cardiomegaly is re- demonstrated. The aorta is tortuous. Pulmonary vasculature is not engorged. Patchy opacities are seen in the left lung base, potentially atelectasis but infection or aspiration cannot be excluded. Streaky atelectasis is also demonstrated in the left lung base. No pleural effusion or pneumothorax is present. No acute osseous abnormality is visualized.",
"role": "assistant"
}
] |
[
"../images/cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f.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": "Patchy left basilar opacity may reflect atelectasis, but infection or aspiration cannot be excluded in the correct clinical setting.",
"role": "assistant"
}
] |
[
"../images/cc9633ee-0f1c87c6-d3eab33a-ac1eccd5-1bd7608f.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Right internal jugular central venous catheter tip terminates in the mid SVC. No pneumothorax is present. Moderate cardiomegaly is again noted. The mediastinal and hilar contours are unchanged. There is mild pulmonary vascular congestion, new since the prior study. There continued bibasilar patchy airspace opacities, not substantially changed in the interval. No large pleural effusion is present.",
"role": "assistant"
}
] |
[
"../images/6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Right internal jugular central venous catheter tip in the mid SVC. No pneumothorax. Mild pulmonary vascular congestion.",
"role": "assistant"
}
] |
[
"../images/6722c21a-9a65dc03-dbc8707e-83f326f7-09e1768c.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": "PA and lateral chest compared to ___ and ___: Moderate cardiomegaly has improved. Combination of mediastinal fat and possible middle lobe atelectasis should not be mistaken for pneumonia. Lungs are otherwise clear. There may be a very small new right pleural effusion. Thoracic aorta is generally large and tortuous but not focally aneurysmal. No evidence of tuberculosis.",
"role": "assistant"
}
] |
[
"../images/809123a3-3a8ec764-0d6f069f-d1b0935b-161bfff4.jpg",
"../images/31c1ff27-efe0b34c-f8b81088-73df6e0c-836198d5.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The lungs are clear without focal consolidation. There is a prominent right mediastinal fat pad. No pleural effusion or pneumothorax is seen. Cardiomegaly is stable.",
"role": "assistant"
}
] |
[
"../images/f9ce0a6c-67455c98-67d8a2c9-c6e73fd9-9753b4aa.jpg",
"../images/4a102c0d-0f7d000d-98e8aac0-7509e4c8-b9d60545.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/f9ce0a6c-67455c98-67d8a2c9-c6e73fd9-9753b4aa.jpg",
"../images/4a102c0d-0f7d000d-98e8aac0-7509e4c8-b9d60545.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": "Patient status post coronary artery bypass graft. Median sternotomy wires are intact. Numerous surgical clips project over the mediastinum and around the heart. The heart is not enlarged. Mediastinal hilar contours are normal. Calcification and tortuosity of the thoracic aorta is re- demonstrated. There is no pleural effusion or pneumothorax. There is no pulmonary edema. The lungs are hyperexpanded with flattening of the hemidiaphragms as before.",
"role": "assistant"
}
] |
[
"../images/e7c283a2-7103747a-f58558d4-48c8259f-aeb043ac.jpg",
"../images/41df0913-e1804610-248fbdd1-6c00cbe1-01bebf5e.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. Left basilar opacity is resolved. 2. COPD.",
"role": "assistant"
}
] |
[
"../images/e7c283a2-7103747a-f58558d4-48c8259f-aeb043ac.jpg",
"../images/41df0913-e1804610-248fbdd1-6c00cbe1-01bebf5e.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest compared to ___ and ___. Mild cardiomegaly is new, but there is no pulmonary edema or pleural effusion. Aside from mild left infrahilar atelectasis, lungs are clear and there is no pleural effusion or pneumothorax. Left upper quadrant drain in place.",
"role": "assistant"
}
] |
[
"../images/b5f871d3-8702f640-44c08eed-e1b45081-74211f61.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 abnormality to explain the patient's symptoms.",
"role": "assistant"
}
] |
[
"../images/2e25b67d-2fe26860-9bd31e83-0ae5d783-44e5bc1e.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 opacity at the base of the right lung is not similar in appearance to chest radiograph on ___ and may represent overlapping structures. However, an opacity in the retrocardiac clear space on the left is new. Additionally, there is an opacity at the left posterior costophrenic The cardiomediastinal silhouette and hilar contours are normal. There is no pneumothorax. Sternotomy wires and surgical clips are again seen and not significantly changed in appearance.",
"role": "assistant"
}
] |
[
"../images/2830f665-0aaa29d2-595be5a7-693ce7bf-c71d0c0b.jpg",
"../images/9188d253-7432f199-b8668189-c4b015e6-24ed4f79.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Left basilar opacity which could be compatible with infection. Recommend repeat imaging after treatment. If no clincal concern for infection, consider chest CT for further evaluation.",
"role": "assistant"
}
] |
[
"../images/2830f665-0aaa29d2-595be5a7-693ce7bf-c71d0c0b.jpg",
"../images/9188d253-7432f199-b8668189-c4b015e6-24ed4f79.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": "Bilateral lung base opacity concerning for pneumonia.",
"role": "assistant"
}
] |
[
"../images/9df378ca-1a460144-f9bb32fc-35303d15-8b86f4c9.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": "Except for minimal bibasilar atelectasis, the lungs are clear. Mild cardiac congestionis stable. Cardiac contour is normal. The upper mediastinum appears widened due to the lordotic view. Chest CT in ___ only showed mediastinal fat in this region. CONCLUSION: There is no evidence of pneumonia.",
"role": "assistant"
}
] |
[
"../images/d958a1d3-977c9fd6-0296ff8d-bf5c5aa9-8894c621.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": "Supine portable AP view of the chest provided. There is mild opacity obscuring the left heart border which is most likely atelectasis and less likely attributable to pneumonia. No large effusion or pneumothorax. The heart and mediastinal contour is stable. No bony abnormalities.",
"role": "assistant"
}
] |
[
"../images/41479840-5d9f3cf1-ac29c4be-7007cfb9-37e379f3.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 would not cooperate for standard positioning. Lateral aspect of the left hemithorax is excluded from the examination. Mild peribronchial opacification at the base of the right lung could be due to recent aspiration. Abnormality is more severe at the left lung base, more concerning for pneumonia. Pleural effusion on the right is minimal. Left cannot be assessed because the sulcus is excluded from the examination but there is no large left pleural effusion. Right PIC line ends close to the superior cavoatrial junction. Heart is not enlarged. No pneumothorax along the imaged pleural surfaces.",
"role": "assistant"
}
] |
[
"../images/0d86089a-9603976b-4b216712-10d8d41a-4dba01b5.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 well expanded with little vascular engorgement. The heart size is normal. The minimal bibasilar atelectasis is unchanged. There is suggestion of a new 16 mm left upper lobe nodule. Additionally, the aortopulmonary window is bulging, new since ___. There is no apical pneumothorax or large pleural effusion.",
"role": "assistant"
}
] |
[
"../images/a17b5dc8-d644c07f-3d06ab54-851e9dee-b8643fad.jpg",
"../images/32f29bbd-708c39d5-e0e01140-65e5a8ac-a2a6f01c.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. There is no pulmonary edema and little vascular engorgement. 2. Bulging of the aortopulmonary window, new since ___, and a newly identified 16 mm left upper lobe nodule can be initially better evaluated with routine PA and lateral chest radiographs, and an additional lordotic view. ___ was informed at ___ on ___ by Dr. ___.",
"role": "assistant"
}
] |
[
"../images/a17b5dc8-d644c07f-3d06ab54-851e9dee-b8643fad.jpg",
"../images/32f29bbd-708c39d5-e0e01140-65e5a8ac-a2a6f01c.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": "Heart size is normal. Mediastinal and hilar contours are unremarkable. The pulmonary vascularity is normal. Streaky bibasilar airspace opacities likely reflect atelectasis. No pleural effusion or pneumothorax is seen. Multiple old right-sided rib fractures are re- visualized.",
"role": "assistant"
}
] |
[
"../images/99afae49-8d95e258-a1717ce5-74e8f9fa-715ae11a.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Bibasilar airspace opacities likely reflect atelectasis.",
"role": "assistant"
}
] |
[
"../images/99afae49-8d95e258-a1717ce5-74e8f9fa-715ae11a.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 are again seen diffuse masses and nodules throughout both lungs consistent with known widespread metastatic disease. There is a right-sided chest tube with distal tip at the right apex. The size of the pneumothorax at the right base, right lower chest wall, and right lung apex is unchanged. There is a persistent left retrocardiac opacity and left-sided pleural effusion. Hardware within the thoracic spine is again visualized.",
"role": "assistant"
}
] |
[
"../images/9a046e7c-057d79d3-d97632b4-19afc34b-e0beff6a.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest compared to ___ 5:02 a.m.: Small right apical pneumothorax is new or more readily apparent now than it was at 5:02 a.m. Small right pleural effusion unchanged. Lungs full of pulmonary nodules as before. No new collapse pneumonia or pulmonary edema. Small left pleural effusion stable. Right supraclavicular central venous line passes into the right atrium, tip is obscured by spinal hardware. Right pleural tube unchanged in position, crossing the mid chest superiorly.",
"role": "assistant"
}
] |
[
"../images/f9e470de-c60bca39-abdf839e-6a6732b2-852ee038.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-sided chest tube is present with the distal end near the right lung apex. Right central line ends at lower SVC. Innumerable, bilateral, nodular opacities are similar. The size of the pneumothorax at the right lung apex is smaller whereas at the right lower lateral chest wall and at the right lung base is overall unchanged. Spinal hardware device is present at lower thoracic and upper lumbar region. Increase retrocardiac density representing left lower lung volume loss, moderate left and mild right pleural effusions are stable.",
"role": "assistant"
}
] |
[
"../images/bbe08fc1-a56aeae9-bd7c72ec-ce35c2c5-b033ef08.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": "Consistent with the given history, a chest tube is noted and is directed medially in the upper mediastinum with a location that is highly suggestive of intrafissural placement. There is increased lucency at the lung base, particularly outlining the right hemidiaphragm, which likely indicates a residual component of the pneumothorax. Diffuse bilateral pulmonary nodules consistent with widespread metastatic disease are again present. There is air noted around a ray cage device in the lower thoracic spine, surrounded by posterior spinal stabilization rods. Extensive surgical clips are noted within the medial left upper quadrant. It is difficult to discern the left hemidiaphragm. There is increased retrocardiac opacity, although similar to the prior exam. A Port-A-Cath is evident in stable and standard course and position. The osseous structures are difficult to assess, but are grossly stable.",
"role": "assistant"
}
] |
[
"../images/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.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": "The course of the chest tube projecting over the right chest suggests an intrafissural position, which may limit the ability to evacuate the pneumothorax. A visceral pleural line remains evident and most apparent at the lung base with an extension of the air to the spinal hardware as noted on the CT earlier today. Widespread metastatic disease of the lungs is again seen. There is no radiographic evidence currently of tension physiology.",
"role": "assistant"
}
] |
[
"../images/78ecaf71-9fdb0b43-b0134402-8c5e739f-2c6c0ea2.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 the prior study from ___. There are diffuse nodular opacities throughout both lung fields consistent with patient's known widespread metastatic disease. There is again seen a small right apical pneumothorax. The right-sided chest tube has been pulled back slightly. The pneumothorax at the right base now appears filled with fluid and is compatible with a hydropneumothorax as seen on the prior CT scan from ___. There is increased density at the left base as well which is stable. The hardware in the lower lumbar spine is stable. There is a right IJ catheter with the distal lead tip in the distal SVC, stable.",
"role": "assistant"
}
] |
[
"../images/ceb36d05-686e9404-43dfdc4f-e050bf09-89b8d71d.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 ___. There is a right-sided chest tube with the distal tip within the right upper lobe. There is a persistent right-sided pneumothorax which has increased slightly since the previous study. There is now a portion of pneumothorax seen along the right lower chest wall. There remains an apical component. There is also a portion of a hydropneumothorax at the right base. There is again seen diffuse airspace opacities and nodular densities consistent with widespread pulmonary metastases. Spinal hardware is seen. There is a right-sided Port-A-Cath with the distal tip in the distal SVC in stable position.",
"role": "assistant"
}
] |
[
"../images/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.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 increase in the right-sided pneumothorax.",
"role": "assistant"
}
] |
[
"../images/e2a0ad89-ad9f7213-42de3b6c-34d942a2-c8f7ec98.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": "One portable AP upright view of the chest. Low lung volumes. Mild left basilar atelectasis. Right lung is clear. No vascular congestion or pulmonary edema. No pneumothorax. Moderate cardiomegaly. No evidence of pneumonia. No pleural effusion.",
"role": "assistant"
}
] |
[
"../images/135f75db-12a94b0c-6c6aab28-36eee09d-648f5827.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. Mild left basilar atelectasis. 2. Moderate cardiomegaly. No vascular congestion or pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/135f75db-12a94b0c-6c6aab28-36eee09d-648f5827.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, there is no relevant change. Relatively wide mediastinum, caused by mediastinal lipomatosis (documented on a PET-CT examination from ___). Borderline size of the cardiac silhouette. No evidence of pleural effusion, pulmonary edema, or pneumonia. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/e872e235-dee5ac10-dfd4a5e4-e40a9a02-73e5ee8a.jpg",
"../images/a6aacacb-72188cab-113e38f7-dc63b7cb-e0b3cd1a.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "PA and lateral chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding chest examination of ___. Heart size is normal. Relatively wide mediastinal and cardiac contours are compatible with previously on CT documented mediastinal lipomatosis. Accessible aortic contours are unremarkable. The pulmonary vasculature is not congested. No signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. Skeletal structures of the thorax grossly unremarkable. In comparison with the next preceding study, no significant interval change can be identified. Prominence of soft tissue structures surrounding the skeletal structures of the thorax are indicative of rather advanced adiposity.",
"role": "assistant"
}
] |
[
"../images/96970f3a-0571b454-3baba4d3-45236f65-abf7a9c6.jpg",
"../images/614cf968-41dc136f-73eb6d42-6b73032b-e0dde637.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 chest findings, no evidence of pulmonary congestion or acute parenchymal infiltrates in this patient with history of cough.",
"role": "assistant"
}
] |
[
"../images/96970f3a-0571b454-3baba4d3-45236f65-abf7a9c6.jpg",
"../images/614cf968-41dc136f-73eb6d42-6b73032b-e0dde637.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 ___, the degree of bilateral opacification may be slightly less prominent. Substantial enlargement of the cardiac silhouette persists.",
"role": "assistant"
}
] |
[
"../images/2247b067-ee0f755a-9ea52034-1cc6095d-1d4ea3df.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Bilateral interstitial and airspace opacitification, predominantly basal has worsened substantially since ___. Moderate enlargement of the cardiac silhouette and hilar vasculature are chronic. Small bilateral pleural effusions are presumed.",
"role": "assistant"
}
] |
[
"../images/f2b84959-05a7275a-931bd2c9-4755b948-797561fe.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": "Recurrent, moderately severe, pulmonary edema, worsened since ___. Bibasilar opacification, likely edema and atelectasis.",
"role": "assistant"
}
] |
[
"../images/f2b84959-05a7275a-931bd2c9-4755b948-797561fe.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 hilar congestion and diffuse bilateral ground glass opacities, most predominant at the bases, slightly improved from prior exam, and most consistent with pulmonary edema. An underlying pneumonia cannot be fully excluded. There are trace bilateral pleural effusions. There is no pneumothorax. The cardiac silhouette is moderately enlarged and unchanged from the prior exam. The mediastinal contours are normal.",
"role": "assistant"
}
] |
[
"../images/9d3fc285-2804e9fb-140f4830-54ce06d4-478a8abd.jpg",
"../images/a02fc8d7-4d89d7b2-2bcaaf26-ebd72059-2e9d5341.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 ground glass opacities and small bilateral pleural effusions are consistent with moderate pulmonary edema. In the proper clinical setting, a pneumonia cannot be excluded. Can consider a repeat chest radiograph after diuresis.",
"role": "assistant"
}
] |
[
"../images/9d3fc285-2804e9fb-140f4830-54ce06d4-478a8abd.jpg",
"../images/a02fc8d7-4d89d7b2-2bcaaf26-ebd72059-2e9d5341.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": "Compared to most recent prior exam, there has been interval improvement in bilateral pleural effusions; small pleural effusions remaining. There has been interval improvement in interstitial edema with mild residual vascular engorgement and very mild bibasilar interstitial edema. Heart size continues to be enlarged. No pneumothorax is detected. Previously noted abdominal stent is incompletely imaged.",
"role": "assistant"
}
] |
[
"../images/7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5.jpg",
"../images/5ab5fba0-c8566867-480eaa18-3c6ff3f8-87c30b03.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 improvement in interstitial edema and bilateral pleural effusions with mild interstitial edema/vascular engorgement and small bilateraly pleural effusions remaining.",
"role": "assistant"
}
] |
[
"../images/7d2e3c50-e0ca79fb-74b46922-68f9cb02-e05269e5.jpg",
"../images/5ab5fba0-c8566867-480eaa18-3c6ff3f8-87c30b03.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": "Compared to chest radiographs ___. Subsegmental atelectasis in the right middle lobe is new and could be due to bronchial narrowing from bronchitis. Severe cardiomegaly is chronic, but there is no pulmonary or mediastinal vascular congestion and no pleural effusion.",
"role": "assistant"
}
] |
[
"../images/729e2a72-abdbd01c-884f4185-7fb1ac97-9dfe808c.jpg",
"../images/e8a8bd48-feafd477-16f9cfa0-575478d2-bc2c5cbb.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 are relatively low lung volumes. No definite focal consolidation is seen. Mid lung atelectasis/scarring is again seen. Mild cardiomegaly is again seen. Mediastinal contours are unremarkable. No pleural effusion or pneumothorax is seen.",
"role": "assistant"
}
] |
[
"../images/b763b37f-bcd8f18b-d2041837-3b2722d1-f6f3013a.jpg",
"../images/b6ce62d8-12124de8-769cb0d0-07e96bef-ca38036d.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/b763b37f-bcd8f18b-d2041837-3b2722d1-f6f3013a.jpg",
"../images/b6ce62d8-12124de8-769cb0d0-07e96bef-ca38036d.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": "PA and lateral chest compared to ___ and ___: The only focal pulmonary abnormality is a band of atelectasis in the right mid lung. There are no findings to suggest active pneumonia. Moderate-to-severe cardiomegaly is chronic, but there is no pulmonary vascular engorgement, edema, or pleural effusion. Disc degeneration is seen at several levels in the thoracolumbar spine.",
"role": "assistant"
}
] |
[
"../images/1129d3bb-924babcc-6bcb3caf-4a76b42e-b4b64f89.jpg",
"../images/ae93b9d8-d3f07b0f-2acf2351-9a51b459-bfb724fb.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "AP upright and lateral views of the chest provided. Lung volumes are low with bibasilar atelectasis noted. Perihilar bronchovascular crowding is also noted. The heart is likely within normal limits of size. No large effusion or pneumothorax. No convincing signs of pneumonia. Bony structures are intact.",
"role": "assistant"
}
] |
[
"../images/8146d764-df8a61cc-05eee7e7-2a09b0ca-af854e29.jpg",
"../images/c476c50a-1f0890c2-aba98995-954a758b-7f46da68.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": "Limited, negative.",
"role": "assistant"
}
] |
[
"../images/8146d764-df8a61cc-05eee7e7-2a09b0ca-af854e29.jpg",
"../images/c476c50a-1f0890c2-aba98995-954a758b-7f46da68.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": "Stable cardiomegaly. Normal mediastinal and hilar contours. Stable, subsegmental atelectasis in the right middle lobe. Otherwise, the lungs are clear. Pleural surfaces are normal.",
"role": "assistant"
}
] |
[
"../images/60df340a-31a5266d-2f3912a7-3758a59c-9a5baa79.jpg",
"../images/3ceaa65b-850c135e-da080f5d-e28c2bc7-a9dea924.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 an acute cardiopulmonary process.",
"role": "assistant"
}
] |
[
"../images/60df340a-31a5266d-2f3912a7-3758a59c-9a5baa79.jpg",
"../images/3ceaa65b-850c135e-da080f5d-e28c2bc7-a9dea924.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Lung volumes are low. Linear horizontal scarring in the right middle lobe is unchanged since ___. Mild cardiomegaly is unchanged. No new consolidation, effusion or pneumothorax is present.",
"role": "assistant"
}
] |
[
"../images/d8f6df8b-a89ccea2-63bada22-1566fcf0-126ceeb7.jpg",
"../images/af9b5e5b-573301f2-71ea7f54-300d7537-be08d760.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. Discussed with Dr ___ ___ phone at ___ ___.",
"role": "assistant"
}
] |
[
"../images/d8f6df8b-a89ccea2-63bada22-1566fcf0-126ceeb7.jpg",
"../images/af9b5e5b-573301f2-71ea7f54-300d7537-be08d760.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. Left chest wall dual lumen central venous catheter has been removed. There is a left brachiocephalic/superior vena cava stent. The lungs are clear of consolidation or pulmonary vascular congestion. Cardiac silhouette is enlarged likely exaggerated due to technique and positioning. Multiple posterior healed right rib fractures are identified.",
"role": "assistant"
}
] |
[
"../images/cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No acute cardiopulmonary process.",
"role": "assistant"
}
] |
[
"../images/cb7831a4-b96e79a9-fb92a40e-661f84c9-35010799.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Left-sided dual lumen central venous catheter tip terminates in the low SVC in courses through a stent within the left brachiocephalic and superior vena cava. A vascular stent is also noted within the left upper extremity. Cardiac silhouette size is normal. Mediastinal and hilar contours are unchanged unchanged with similar rightward deviation of the trachea due to a known left thyroid goiter again noted. The pulmonary vasculature is not engorged. Minimal patchy opacities in the lung bases likely reflect areas of atelectasis. There may be trace bilateral pleural effusions, but no focal consolidation or pneumothorax is present. Clips are noted about the neck. Remote fractures of the right posterior ribs are again seen.",
"role": "assistant"
}
] |
[
"../images/209500b4-f8bc630b-f0a648c8-da518e7f-ab714f17.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Bibasilar atelectasis with possible trace bilateral pleural effusions.",
"role": "assistant"
}
] |
[
"../images/209500b4-f8bc630b-f0a648c8-da518e7f-ab714f17.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Again seen is a dual lumen central venous catheter which terminates in the lower SVC coursing through a brachiocephalic/SVC stent. No definite consolidation is identified. There is mild pulmonary vascular congestion. Cardiac silhouette is top normal. There are likely small bilateral pleural effusions. No pneumothorax is present. Mediastinal contour with rightward deviation of the trachea secondary to a thyroid goiter is again noted.",
"role": "assistant"
}
] |
[
"../images/aab40ef3-41eac8b5-ecbddfef-9c04937c-85c81083.jpg",
"../images/e2a298e7-794b6f39-1efd0c79-f922ddff-2b8f0010.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": "As above.",
"role": "assistant"
}
] |
[
"../images/aab40ef3-41eac8b5-ecbddfef-9c04937c-85c81083.jpg",
"../images/e2a298e7-794b6f39-1efd0c79-f922ddff-2b8f0010.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 cephalization which could reflect mild pulmonary venous congestion.",
"role": "assistant"
}
] |
[
"../images/0e94f694-f43b9926-aae6e13a-c3d97e2d-3a975b5b.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": "Decreased lung volumes with no new opacity concerning for pneumonia.",
"role": "assistant"
}
] |
[
"../images/8a8519a4-3254cb1a-775d799a-d0d1bd38-8b776ba6.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 chest radiographs again demonstrate a vascular stent and surgical clips. Moderate to severe cardiomegaly is unchanged. There is no definite focal consolidation. Pleural and parenchymal scarring have been more fully evaluated by CTA of the chest of ___. A small right pleural effusion is seen. There is no appreciable pneumothorax. The visualized upper abdomen is unremarkable. Rightward deviation of the trachea is consistent with left lobe thyroid enlargement.",
"role": "assistant"
}
] |
[
"../images/cb9dfd59-69a7a57f-254f4223-251e6a00-92e162bb.jpg",
"../images/92c14d77-ecf00fa7-99e8dbe5-0a1591ae-be39eec7.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 definite focal consolidation. Small right pleural effusion.",
"role": "assistant"
}
] |
[
"../images/cb9dfd59-69a7a57f-254f4223-251e6a00-92e162bb.jpg",
"../images/92c14d77-ecf00fa7-99e8dbe5-0a1591ae-be39eec7.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 vascular stent is seen in the left brachiocephalic vein and SVC, unchanged in appearance from the prior examination. The cardiomediastinal silhouette is stable. Subtle opacities seen throughout both lungs, most notable at the base of the right lung obscuring the right heart border, are suggestive of multifocal infection. An area of focal opacity projected over the left mid lung could represent an additional area of consolidation. In addition, there is increased vascular congestion, that should be -re-assessed after diuresis. There is no large pleural effusion or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/95d5ba34-c754c542-a7da4947-9dce8e85-e0668736.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": "Bilateral opacities as described above concerning for multifocal pneumonia. Increased vascular congestion, that should be -re-assessed after diuresis. NOTIFICATION: Updated findings communicated Dr. ___ ___ telephone ___:15 on ___ by Dr. ___",
"role": "assistant"
}
] |
[
"../images/95d5ba34-c754c542-a7da4947-9dce8e85-e0668736.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Single frontal view of the chest in semi-erect position demonstrates stable position of a dual-channel central venous catheter with tip terminating in the upper right atrium. The patient is slightly rotated to the left. Cardiomediastinal silhouette is within normal limits. Multiple clips are seen overlying the right apex. Rightward upper tracheal displacement is related to known enlarged left thyroid lobe as seen on CT dated ___. The lungs are clear with trace, if any, basilar atelectasis. There is no pneumothorax, vascular congestion, or pleural effusion. Multiple remote fractures are seen on the left posteriorly, unchanged.",
"role": "assistant"
}
] |
[
"../images/947b8eee-91990d6d-31a05ac0-0f30e40e-c54fedee.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No definite evidence to suggest pneumonia or fluid overload.",
"role": "assistant"
}
] |
[
"../images/947b8eee-91990d6d-31a05ac0-0f30e40e-c54fedee.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. Moderate pericardial effusion. 2. Metastatic pulmonary nodules. 3. Fractured superior sternal wire.",
"role": "assistant"
}
] |
[
"../images/dd3a86eb-069878c6-f4880473-9cc83b95-17983197.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": "Retrocardiac opacification could be due to atelectasis, although an infectious process cannot be excluded. There is minimal right basilar atelectasis. Pulmonary vascular congestion is seen without evidence of interstitial pulmonary edema. A small left pleural effusion is possible. There is no right pleural effusion. No pneumothorax is seen. The heart size is normal. The mediastinal contours are normal.",
"role": "assistant"
}
] |
[
"../images/dd4d07ba-c78dcfab-fc8fc38e-e425a71b-29874f79.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. Left retrocardiac opacification could be atelectasis or infection. 2. Pulmonary vascular congestion without evidence of interstitial edema. 3. Possible small left pleural effusion.",
"role": "assistant"
}
] |
[
"../images/dd4d07ba-c78dcfab-fc8fc38e-e425a71b-29874f79.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "AP chest compared to ___ through ___. The questionned retrocardiac abnormality is a large part of the stomach passing through a hiatus hernia, as seen on the chest radiograph, ___. Evaluating possible mass in the stomach would require CT scanning. Lungs are clear of pneumonia. Expanded right anterior rib ends should not be mistaken for lung nodules. Heart size is normal. Azygous distention is new, suggesting increased intravascular volume, but there is no pulmonary edema or pleural effusion.",
"role": "assistant"
}
] |
[
"../images/39f36124-b86b485a-6817fbeb-6ac41cca-8ee5b9c1.jpg",
"../images/748c169c-828f1222-57447816-e11e5338-53a98735.jpg"
] |
mimic_impression
|
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