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[ { "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 cardiac, mediastinal and hilar contours are unchanged, with the cardiac silhouette size at the upper limits of normal. Right subclavian vascular stent is unchanged. The lungs are clear and the pulmonary vascularity is normal. No pleural effusion or pneumothorax is identified. There are no acute osseous abnormalities.", "role": "assistant" } ]
[ "../images/2213d9b8-a439ba1b-d3c83a34-dffbbd3d-bf4fe01e.jpg", "../images/60565158-58324362-cca18ef0-bb2bc393-750737fd.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No acute cardiopulmonary abnormality.", "role": "assistant" } ]
[ "../images/2213d9b8-a439ba1b-d3c83a34-dffbbd3d-bf4fe01e.jpg", "../images/60565158-58324362-cca18ef0-bb2bc393-750737fd.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 compared to previous exam from ___. The lungs are clear of consolidation, effusion or pulmonary vascular congestion. Cardiomediastinal silhouette is within normal limits. Right-sided vascular stent is again noted. Osseous and soft tissue structures are otherwise unremarkable.", "role": "assistant" } ]
[ "../images/05f71593-f6c69ec6-4d98e8b5-3c7490cb-7cce893a.jpg", "../images/90e0275c-fdf15b9e-fa00d384-ace49c70-f4727012.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/05f71593-f6c69ec6-4d98e8b5-3c7490cb-7cce893a.jpg", "../images/90e0275c-fdf15b9e-fa00d384-ace49c70-f4727012.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There is a decreased though persistent right-sided hydropneumothorax with interval incomplete reexpansion of the right lung. No significant mediastinal shift identified with unremarkable mediastinal, hilar, and cardiac contours. Right lower lung opacifications may reflect combination of reexpansion edema and atelectasis. Minimal left lung atelectasis noted.", "role": "assistant" } ]
[ "../images/20cbc0cc-b3c8cc7c-20ac42e1-24561590-cdc9f748.jpg", "../images/36309315-d8541009-0bd1a6c7-61a61b57-a33c1b81.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": "Improving right hydropneumothorax with right lower lung opacifications, atelectasis versus edema are likely.", "role": "assistant" } ]
[ "../images/20cbc0cc-b3c8cc7c-20ac42e1-24561590-cdc9f748.jpg", "../images/36309315-d8541009-0bd1a6c7-61a61b57-a33c1b81.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": "Comparison is made to previous study from ___. There is a right-sided central venous line with distal tip at the cavoatrial junction. There is a feeding tube whose distal tip is below the GE junction. There is air-fluid level projecting over the right lower lobe consistent with the patient's known empyema. The pigtail catheter at the right base is no longer seen. There is also a left-sided small pleural effusion. No pneumothoraces are seen.", "role": "assistant" } ]
[ "../images/960b69b4-844f9fbb-2fe99d01-27e23cb6-c4a78097.jpg", "../images/839ef707-03863b69-f7079a97-b5b91539-90449683.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 ___ 4:11 a.m.: Previous edema in the left lung has cleared. There has been no appreciable change in the extent of the large right hydropneumothorax with near collapse of the right lung and moderate leftward shift of the lower portion of the mediastinum and downward displacement of the right hemidiaphragm. Findings were discussed by telephone earlier this morning with the house officer caring for this patient, Dr. ___.", "role": "assistant" } ]
[ "../images/3af2079b-5efadc60-7a5c217f-b733fcbc-346b0893.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "The right pneumothorax has resolved. However, there has been continued increase in the pleural effusion which is now large and leaving only the right upper lobe aerated. There is no shift of mediastinal structures. There is no focal consolidation. The visualized portions of the cardiomediastinal silhouette are within normal limits.", "role": "assistant" } ]
[ "../images/dff1e4b1-19095040-20f3ad74-e13d58a4-4603b22d.jpg", "../images/1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0.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": "Large right pleural effusion replacing the prior right pneumothorax seen on ___. Results were relayed to ___ by phone at 12:05 p.m. on ___.", "role": "assistant" } ]
[ "../images/dff1e4b1-19095040-20f3ad74-e13d58a4-4603b22d.jpg", "../images/1b1b23db-a13b7b1e-1cdeca0e-a6d035c6-a4699be0.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There has been placement of an OG feeding tube which is coiled within the stomach with the tip pointing towards the fundus. Compared to the most recent prior radiograph, there has been no significant change. Moderate loculated right pleural effusion, is unchanged. Left mid and lower lung opacities are stable. There is no pneumothorax. Cardiac silhouette is enlarged but stable.", "role": "assistant" } ]
[ "../images/f4ed24b7-7ce4f984-cadc1a40-43fde803-53ae7d9b.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": "OG tube coiled within the stomach with the tip pointing towards the fundus. Otherwise, no significant interval change. These findings were reported to Dr. ___ by Dr. ___ ___ telephone at 2:30pm", "role": "assistant" } ]
[ "../images/f4ed24b7-7ce4f984-cadc1a40-43fde803-53ae7d9b.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": "Following thoracocentesis and pigtail catheter placement positioned at the right lung base, a large right pleural effusion has decreased but still at least moderate amount of right pleural fluid accompanying complete collapse of the right lower lobe and possibly at least partial collapse of the right upper lobe is persisting. An ill-defined opacity in the left suprahilar region which was new on ___ radiograph is likely an aspiration pneumonia. Left lower lung is clear. Mild mediastinal shift to the left side owing to the right pleural effusion still persists, but better since yesterday. There is no demonstrable pneumothorax.", "role": "assistant" } ]
[ "../images/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg", "../images/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.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": "Following thoracocentesis and right pigtail catheter placement, large right pleural effusion has decreased, but still at least moderate pleural effusion persists and accompanies complete collapse of the right lower lobe and possibly a partial collapse of the right upper lobe. Ill-defined left suprahilar opacity which was new on ___ is likely aspiration pneumonia.", "role": "assistant" } ]
[ "../images/09392690-a0fa7fc5-6e064f84-fe8edde1-dc1b88d0.jpg", "../images/7f2e0501-621b2ad0-0969b247-d16c6c18-12077b6d.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": "Comparison is made to the prior study from ___ at 3:20 a.m. There is again seen a very large right-sided hydropneumothorax. There is collapse of the right lung. A right basilar pleural catheter is again seen on the edge of the film. There has been decrease in the size of the pleural effusion density on the right; however, this may be partially due to positioning.", "role": "assistant" } ]
[ "../images/4d99cd83-87158c89-8a439fbf-60cb6d75-357df407.jpg", "../images/d10ce07f-f461b9b2-314b3356-7fb190a4-1dac6294.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "A single portable AP chest radiograph was obtained. The tip of a Dobbhoff catheter projects over the stomach. The tip of a right PICC line ends in the low SVC. There is interval improved aeration of lungs with persistence of a right basilar loculated hydropneumothorax. A pigtail catheter remains in unchanged position. There is a small left pleural effusion.", "role": "assistant" } ]
[ "../images/95aeb67d-dda857ec-1fa24d4f-f0b7d118-eaf906ea.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. Dobbhoff tube in the stomach. 2. Unchanged right basilar loculated hydropneumothorax.", "role": "assistant" } ]
[ "../images/95aeb67d-dda857ec-1fa24d4f-f0b7d118-eaf906ea.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 and lateral views of the chest were compared to previous exam ___ ___. When compared to prior, previously seen right-sided pneumothorax is slightly smaller. There has, however, been interval enlargement of the right-sided pleural effusion. Slight leftward deviation of the mediastinum is unchanged. The left lung remains clear. The cardiomediastinal contours are stable. The osseous and soft tissue structures are unremarkable.", "role": "assistant" } ]
[ "../images/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg", "../images/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Slight interval decrease in size of right-sided pneumothorax; however, interval enlargement of the right-sided pleural effusion. Stable mild leftward deviation of the cardiomediastinal silhouette.", "role": "assistant" } ]
[ "../images/fa989e12-afbfd6cc-0b346ce6-44522671-dc1518df.jpg", "../images/58081a4f-fb575b5b-d178ec1c-b8b6a415-24868cdf.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Moderate pneumothorax with moderate pleural effusion, inflated right upper lobe and collapsed right lower lobe. No significant shift of the mediastinum. Findings discussed with Dr. ___ at 13:52 on ___ via telephone.", "role": "assistant" } ]
[ "../images/1de4e2d6-0112fe2a-07780296-bc4a23d6-fbcc2872.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 ___: There may be slightly less fluid in an air and fluid collection at the base of the right hemithorax lying just superior to a pigtail drain. With conventional radiographs, much less a single frontal view, it is impossible to say how the position of the tube relates to pleural collections. Right middle lobe is probably still collapsed. Left lung shows mild pulmonary vascular congestion as before, and a small left pleural effusion is stable. Heart size is normal. Right PIC line ends low in the SVC.", "role": "assistant" } ]
[ "../images/5d8d15d2-dc99cbe5-5c910973-385d5e29-82320f37.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "AP single view of the chest was obtained with patient in sitting semi-upright position. Comparison is made with the next preceding similar study of ___ obtained at 15:35 p.m. Findings on a new portable chest examination are practically identical with those of the previous study. Position of pigtail end catheter in the right lower hemithorax unaltered. The same holds for the right-sided pleural effusion and the hydropneumothorax with rather high degree of right lung collapse. No new abnormalities identified. No significant mediastinal shift is observed.", "role": "assistant" } ]
[ "../images/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.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": "Unchanged size and position of right-sided hydropneumothorax over the last ___-hour examination interval.", "role": "assistant" } ]
[ "../images/647aafbc-96122ceb-7150d6ce-c281d11c-148e092c.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 has been placement of an endotracheal tube with its tip approximately 4.8 cm above the carina. Other monitoring and support devices remain in place. Diffuse bilateral pulmonary opacifications persist, as does a pleural air collection at the right base.", "role": "assistant" } ]
[ "../images/983753d4-6a60ce18-3858cac6-ba36bba0-942df8a1.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 the previous study from ___. There is a right-sided PICC line with distal lead tip in the mid SVC. Dobbhoff tube is seen. There is again seen hydropneumothorax in the right base. There is loculated fluid along the right apex as well as well as right-sided volume loss. A small left-sided pleural effusion is seen.", "role": "assistant" } ]
[ "../images/c78782df-1b7c8dd3-106b9075-7374ae77-130d785a.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "A single portable upright view of the chest is provided. Dobbhoff tube is seen curling within the stomach. Right-sided PICC terminates at the cavoatrial junction. Right basilar loculated hydropneumothorax is again present with no change. Right-sided pigtail catheter is in unchanged position. Left lung is incompletely imaged, but appears clear.", "role": "assistant" } ]
[ "../images/9196cf10-d7be030b-9eb57d37-e9f760c5-b583cca5.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. A feeding tube is seen coursing below the diaphragm with the tip not definitively identified on this examination. 2. There is a right-sided loculated pleural opacity, which most likely represents loculated fluid and does not appear to be significantly changed. There is volume loss with shift of the mediastinum to the right and aeration of only a portion of the right lung. A more focal oval consolidation in the left upper-to-mid lung is also seen suggestive of pneumonia, but is not significantly changed. More patchy opacity at the left base may reflect other areas of pneumonia or patchy atelectasis. No pneumothorax. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are likely stable given differences in positioning.", "role": "assistant" } ]
[ "../images/a3dbcc01-a336ba92-1a8702d2-124e81f5-6a525305.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 Dobbhoff tube has been pulled back somewhat. The opaque tip is in the mid body of the stomach, pointing laterally. Little overall change in the appearance of the heart and lungs.", "role": "assistant" } ]
[ "../images/d395c594-96025cff-7e6af4ad-ca08ac10-032bd500.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 4:59 p.m., ___. Moderate right pleural effusion is reaccumulating after apparent removal of the right pigtail pleural drain, while displacement of the right hemidiaphragm downwards and the mediastinum leftwards suggest increasing positive pressure in the right hemithorax. Left lung is over-perfused and now mildly edematous. Dr. ___ was paged, covered by ___, at the time of dictation.", "role": "assistant" } ]
[ "../images/92666ac1-70ccc2f3-66bc3d47-ed08bd0e-d444a359.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 prior study from ___. There is a very large hydropneumothorax on the right side. There is compression of the lung parenchyma. There is also some mediastinal shift to the left side. The left lung appears well aerated without focal consolidation, pleural effusions or pneumothoraces. The right base has increased in the size with pleural effusion, however, this may be secondary to patient positioning. There is a pleural-based catheter at the right base.", "role": "assistant" } ]
[ "../images/2001d733-0290af9c-11d2f658-a475b597-45f1095a.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. Increased opacity of both lungs compatible with mild to moderate pulmonary edema superimposed on existing, perhaps slightly worsened, left sided pneumonia. 2. Unchanged appearance to right basal empyema and accompanying atelectasis.", "role": "assistant" } ]
[ "../images/855b1f9b-cacca17f-ff431f6d-3e9c2ba3-65382faf.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": "Interval placement of pigtail catheter with resolution of right-sided pleural effusion with a moderate-to-large right pneumothorax with no significant shift of mediastinum and collapsed right lung. Findings discussed with ___ at 16:36 on ___ via telephone.", "role": "assistant" } ]
[ "../images/dba61a64-de733cca-c91730b7-7870dfef-c173ffd9.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There is a new right pigtail catheter in the right lower hemithorax. The large right hydropneumothorax appears essentially unchanged from the prior exam within the limitations of technique. Bilateral hazy opacification is suggestive of mild pulmonary edema. Focal opacity in left upper lobe is consistent with pneumonia and similar to the prior study. NG tube is seen terminating in the stomach. Cardiomediastinal silhouette is stable.", "role": "assistant" } ]
[ "../images/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg", "../images/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.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. New right pigtail catheter. 2. No evidence for significant change in right hydropneumothorax. 3. Focal opacity in left upper lobe, most likely pneumonia. 4. Findings suggesting mild pulmonary vascular congestion.", "role": "assistant" } ]
[ "../images/5adb8dc5-cc0be2b2-f5d5f0bb-4a9d8751-64970b13.jpg", "../images/859fa416-f6343ef9-59e07aef-7332f765-4e2be7d0.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "In comparison with study of ___, the patient has taken a better inspiration. The heart is normal in size and there is no vascular congestion, pleural effusion, or acute focal pneumonia.", "role": "assistant" } ]
[ "../images/2ad8c1ee-2b9971e8-22aef719-feb89bce-e6c1aa69.jpg", "../images/278ebde6-e46251bd-4f894b8e-3ea1ab66-cbea5d97.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": "No focal consolidation is seen there is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.", "role": "assistant" } ]
[ "../images/8385af08-8516e6ef-1401e3b8-75199f0d-5e5877e1.jpg", "../images/756112b0-a6239271-e8d2e395-e2019c21-8bd6a61f.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/8385af08-8516e6ef-1401e3b8-75199f0d-5e5877e1.jpg", "../images/756112b0-a6239271-e8d2e395-e2019c21-8bd6a61f.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 are increased pulmonary vascular markings and redistribution. Prominent azygos vein is also noted. There is mild cardiomegaly, unchanged. No focal consolidation, pleural effusion, or pneumothorax is seen. The NG tube courses through the esophagus and terminates outside the field of view.", "role": "assistant" } ]
[ "../images/2e02dd1a-6c84da2d-c2df5435-9ac1ab07-f7351caa.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 volume overload.", "role": "assistant" } ]
[ "../images/2e02dd1a-6c84da2d-c2df5435-9ac1ab07-f7351caa.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. No evidence of focal parenchymal opacities indicative of pneumonia. The orogastric tube has been removed. Unchanged borderline size of the cardiac silhouette without pulmonary edema. The lateral radiograph reveals a minimal pleural effusion bilaterally, restricted to the dorsal parts of the costophrenic sinus.", "role": "assistant" } ]
[ "../images/a81e30c1-ca178bc2-f8d08051-953a1ecc-dc75088f.jpg", "../images/ae39f4d0-b0da3b02-52929cd2-b6698aad-a681fd22.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 cardiomegaly has worsened since ___:14 accompanied by increasing pulmonary vascular engorgement, indicating greater intravascular volume or mild biventricular heart failure is developing. Right infrahilar consolidation consistent with pneumonia is unchanged. ET tube in standard placement. Swan-Ganz catheter ends in the main pulmonary artery, right jugular introducer ends in the upper SVC, and a nasogastric tube ending in the upper stomach would need to be advanced at least 8 cm to move all the side ports below the diaphragm.", "role": "assistant" } ]
[ "../images/513c2a6c-c081efd7-5d2b0a10-5ae31d2c-1664a879.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 relatively low lung volumes. Mild elevation of the right hemidiaphragm persists. There is persistent right base atelectasis. No new focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouettes are unremarkable.", "role": "assistant" } ]
[ "../images/cfc2ef1b-a194024a-6147d0d3-6d42379a-575c395f.jpg", "../images/ef44cff6-c00bc7fa-7a405dea-28717c25-1b5e3ac6.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 significant interval change.", "role": "assistant" } ]
[ "../images/cfc2ef1b-a194024a-6147d0d3-6d42379a-575c395f.jpg", "../images/ef44cff6-c00bc7fa-7a405dea-28717c25-1b5e3ac6.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": "Interval worsening of pulmonary edema compared to one day prior. Pleural effusions also increased. No pneumonia.", "role": "assistant" } ]
[ "../images/3ced14b8-2accf862-b2eab013-efdf4f2d-991f75eb.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": "Comparison is made to previous study from ___. There is an endotracheal tube whose tip is low, 2 cm above the carina. This could be pulled back 2 to 3 cm for more optimal placement. There is a nasogastric tube whose distal tip is poorly seen due to technique but is at least to the level of the GE junction. There is a left-sided central venous catheter with distal lead tip at the cavoatrial junction, unchanged. There is unchanged cardiomegaly. There is again seen pulmonary vascular congestion which is stable.", "role": "assistant" } ]
[ "../images/7ab14399-04914a4f-ecbeb632-86169815-b8874a50.jpg", "../images/4f8a1691-89998d68-1647d35a-65f86204-16385ae8.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. Low ET tube. This could be pulled back 2 cm for more optimal placement. 2. Nasogastric tube tip is not well seen due to technique but is at least to the level of GE junction. Recommend repeat CXR or abdominal films for further evaluation of the distal tip. 3. Unchanged persistent pulmonary edema. 4. Stable cardiomegaly.", "role": "assistant" } ]
[ "../images/7ab14399-04914a4f-ecbeb632-86169815-b8874a50.jpg", "../images/4f8a1691-89998d68-1647d35a-65f86204-16385ae8.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": "Cardiomegaly is moderate and unchanged. Mediastinal silhouette is unchanged including mild mediastinal widening potentially reflecting known mediastinal lipomatosis. Left lung opacities are slightly more conspicuous as compared to the previous study and are concerning for infectious process. There is mild vascular enlargement but no overt pulmonary edema. Followup of the patient after antibiotic therapy is recommended for documentation of resolution.", "role": "assistant" } ]
[ "../images/34c33c6c-75ba0b40-50ca4043-7fe8e9be-b4528f9b.jpg", "../images/d50e8844-70b979c1-018fdf07-8a21dee8-bea92072.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": "Comparison to ___. No relevant change. Monitoring and support devices are stable. Moderate cardiomegaly. Low lung volumes. Mild to moderate pulmonary edema. The right basilar atelectasis. Retrocardiac atelectasis. No larger pleural effusions.", "role": "assistant" } ]
[ "../images/05497016-015d9fb6-1dcbc401-ad586ed8-ff4595d4.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. The monitoring and support devices are in unchanged position. Moderate cardiomegaly with moderate right pleural effusion, accompanied by areas of bilateral basal atelectasis, right more than left. Mild fluid overload. No newly appeared parenchymal opacities.", "role": "assistant" } ]
[ "../images/02b9665e-286a47a7-edbf1119-14117e3b-ed29a2fe.jpg", "../images/d78cb088-c3cad3f2-7a6176d6-7a4ca5df-dbe9326c.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There has been interval removal of the ETT and dobhoff. There is an orogastric tube seen with the tip and side hole below the diaphragm. There is a right-sided PICC line, which is unchanged in positioning. There are ill-defined opacities at the left base, which likely represent atelectasis, but an underlying lower lobe pneumonia cannot be excluded. The cardiomediastinal silhouette is enlarged but stable. The left hilum is prominent, likely reflecting pulmonary hypertension. The pulmonary vasculature is normal. No pleural effusion or pneumothorax is seen.", "role": "assistant" } ]
[ "../images/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg", "../images/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.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. Appropriately positioned orogastric tube and PICC line. 2. Ill-defined left basilar opacities, which likely represent atelectasis, but an underlying left lower lobe pneumonia cannot be excluded. 3. Stable enlargement of the cardiomediastinal silhouette and left hilum.", "role": "assistant" } ]
[ "../images/ab15addd-7646ff4c-89b05c13-b4ea8bb6-22be4b16.jpg", "../images/df381e4e-bf31f79a-d78a3d63-8b19d21e-bf14cc6d.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": "Compared to prior chest radiographs ___ through ___. Consolidation in the left lower lobe has been present for more than a week, improved slightly. This could be pneumonia, but atelectasis is more likely. Severe cardiomegaly is stable. There is no longer any pulmonary edema. Pleural effusion is likely, but not large. ET tube, esophageal drainage tube, and left subclavian line are in standard placements.", "role": "assistant" } ]
[ "../images/b3a377e6-a4f90277-7bd8361f-bfc64687-a4ee054b.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 ___, 3:04 a.m. Examination is marked semi-upright. Only upright views are sensitive for detection of small amounts of subdiaphragmatic gas. None is seen on this study. ET tube and a dual-channel left supraclavicular central venous line are in standard placements respectively. Moderate cardiomegaly is stable. Previous mild pulmonary edema has improved. Pulmonary and mediastinal vascular congestion and moderate-to-severe left lower lobe atelectasis persist. Small amount of pleural effusion is presumed, left greater than right. No pneumothorax.", "role": "assistant" } ]
[ "../images/5636d20b-bf2bc860-a877f98d-84cf4456-7d982baa.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 dual-lumen large-bore catheter unchanged in position with the tip in the right atrium. Overall, cardiac and mediastinal contours are stably enlarged given patient's rotation. Lung volumes are diminished. There is perihilar fullness and indistinctness of the pulmonary vasculature which would favor pulmonary edema rather than an acute infectious process. However, clinical correlation would be advised as this could reflect an atypical infection. No large effusions. No pneumothorax.", "role": "assistant" } ]
[ "../images/0ac866f1-b3bfe12a-db469934-8e3130a5-407a9e34.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "AP single view of the chest has been obtained with patient in supine position. Comparison is made with a previous similar examination of ___, which also was performed with the patient in supine position. Moderate cardiac enlargement as before. Heart size may have increased slightly. However, portable technique in supine position does not allow precise assessment. Comparison with the next previous study clearly identifies a new parenchymal density in the left hemithorax in perihilar position extending into the left upper lobe. The previously identified left lower lobe linear densities suspicious for atelectasis persist. No new pulmonary abnormalities in the right hemithorax and no pneumothorax identified on either side. The patient is intubated and the ETT terminates in the trachea some 5 cm above the level of the carina.", "role": "assistant" } ]
[ "../images/5c6e01e3-164c30db-22196724-376748a3-d299a9eb.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 parenchymal infiltrates in mid and left upper lung field. As patient apparently was in supine position during the last ten days, consider possibility of aspiration pneumonitis in this unusual location.", "role": "assistant" } ]
[ "../images/5c6e01e3-164c30db-22196724-376748a3-d299a9eb.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": "Compared to prior chest radiographs, ___ through ___. Right lung is low in volume but clear, although the pulmonary vessels are engorged. Severe cardiomegaly and mediastinal venous distension are stable. Hilar enlargement reflects pulmonary arterial hypertension. Most of the left lower lung is obscured by the large part but there is at least atelectasis. Left pleural effusion is small. No pneumothorax. ET tube is in standard placement, feeding tube passes below the diaphragm and out of view. Right PIC line ends in the mid SVC.", "role": "assistant" } ]
[ "../images/3e8684a6-648033ea-79431638-c694d922-dadb2370.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "In comparison to prior radiograph of 1 day earlier, there has been improved aeration at both lung bases. No other relevant change since recent study.", "role": "assistant" } ]
[ "../images/93545eeb-752a09e2-3a5afc63-bbdfdacf-0161e920.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 tip of the endotracheal tube projects 5 cm above the carina. The tube could be advanced by 1 cm. Unchanged moderate-to-severe cardiomegaly with signs of mild-to-moderate pulmonary edema and a moderate right-sided pleural effusion. Bilateral areas of atelectasis at the lung bases. No pneumothorax. Right PICC line in unchanged position.", "role": "assistant" } ]
[ "../images/9b89dbe0-e7cb624a-a28136ca-4e93fa28-46f66f22.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": "Portable radiograph obtained for the purpose of Dobbhoff tube assessment demonstrates the tip of a Dobbhoff tube terminating in the distal stomach.", "role": "assistant" } ]
[ "../images/e098de1a-7399b454-7d99f39c-193c0665-82223533.jpg", "../images/51e18346-5f7ff119-83d3df75-7e02b902-3044cf3d.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 study is somewhat limited secondary to positioning. The patient is markedly rotated. Again seen is a large-bore dual-lumen catheter from a left subclavian approach. Elevation of the right hemidiaphragm is again evident and slightly exaggerated. There is engorgement of the vascular pedicle and cephalization of the pulmonary vascularity, which is likely at least in part due to the supine positioning. Linear atelectasis is seen in the retrocardiac left lower lobe. No focal consolidation is seen. The mediastinum again demonstrates a tortuous aorta exaggerated by the rotation. Likewise, the cardiac silhouette is stable, but exaggerated. No large effusion is noted. Blunting of the right costophrenic angle is relatively stable. There is no pneumothorax.", "role": "assistant" } ]
[ "../images/4ab443e8-381a282a-dfe41cd5-8edde8bf-72cbeb68.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": "Limited study, but overall grossly stable. The slight engorgement is noted principally in the left hilar region may be in part due to recumbency.", "role": "assistant" } ]
[ "../images/4ab443e8-381a282a-dfe41cd5-8edde8bf-72cbeb68.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 hazy left basilar opacity which has been seen on multiple previous examinations. Elsewhere the lungs are clear of consolidation. Enlargement of the cardiac silhouette is similar compared to prior and likely exaggerated by portable technique and prominent mediastinal fat. Atherosclerotic calcifications noted throughout the aorta.", "role": "assistant" } ]
[ "../images/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg", "../images/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.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": "Persistent left lower lung opacity potentially atelectasis or scarring given findings on multiple priors. Please note that superimposed infection is not entirely excluded. Consider PA and lateral for further assessment if desired.", "role": "assistant" } ]
[ "../images/fb8b94a3-98ec59dc-d148e378-62063c90-58baaa12.jpg", "../images/d3c16ec5-f49b8c5b-fafc5fc8-41ec9bca-ca28586a.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": "An endotracheal tube terminates 4.1 cm above the carina. In enteric tube terminates in the proximal stomach and could be advanced 5-6 cm for ideal positioning. The cardiomediastinal silhouette is stable. Low lung volumes. Minimal elevation of the right hemidiaphragm is also stable. The left lung base is not visualized. Increased opacity at the base of the left lung may reflect atelectasis. There is mild vascular congestion with mild pulmonary edema. No pneumothorax.", "role": "assistant" } ]
[ "../images/1bc3bed7-2aa120b0-65805fec-266c7e92-f3eebc0a.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": "Endotracheal tube 4.1 cm of the carina. Enteric tube should be advanced 5-6 cm for ideal positioning. No pneumothorax. The left lung base is only partially imaged however opacity at the base of the left lung likely reflects atelectasis or aspiration. Mild pulmonary edema.", "role": "assistant" } ]
[ "../images/1bc3bed7-2aa120b0-65805fec-266c7e92-f3eebc0a.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": "Compare to prior chest radiographs since ___, most recently ___. ET tube in standard placement. Right PIC line ends in the upper right atrium. Feeding tube passes into the stomach and out of view. Moderate enlargement cardiomediastinal silhouette is stable. Left hilar enlargement is probably due to chronic pulmonary arterial dilatation but pulmonary vascular engorgement has improved since ___ and there is no edema. Left lower lobe atelectasis is mild. Pleural effusions are small if any. No pneumothorax.", "role": "assistant" } ]
[ "../images/93cda90a-dff91783-8c5eaa57-5242ceca-f2ba281a.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. An area of increased opacification of the left base may represent artifact from patient positioning or atelectasis, however superimposed infection cannot be excluded. There is a probable small left-sided pleural effusion. There is no pneumothorax. The cardiomediastinal contours are unchanged.", "role": "assistant" } ]
[ "../images/7c70e574-d72b406a-b5eddc73-e53c3242-c9c99c9b.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": "Increased opacification of the left base may represent artifact from patient positioning or atelectasis, however superimposed infection cannot be excluded.", "role": "assistant" } ]
[ "../images/7c70e574-d72b406a-b5eddc73-e53c3242-c9c99c9b.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": "Mild pulmonary edema has slightly increased. There is no significant pleural effusion. There is no pneumothorax. Mediastinal and cardiac contours with moderate enlargement and stable. CONCLUSION: Mild pulmonary edema has increased.", "role": "assistant" } ]
[ "../images/da9e3e67-02622466-3838d301-ca677b26-64a2bee0.jpg", "../images/59f27b42-493502db-176f0ee7-90ba0f84-30b55b8b.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": "In comparison with the study of ___, the monitoring and support devices are unchanged. Opacification at the right base is unchanged, again consistent with collapse of the middle and lower lobes. The left lung remains clear.", "role": "assistant" } ]
[ "../images/4f5ceb49-3bea4142-b3d31cf2-dd2d774c-d213dc35.jpg", "../images/f74a6e2d-7ecce9f0-cf647641-73115c8d-2af49e3d.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 upright AP view of the chest. The right PICC line has been pulled back and now ends proximal to the junction of the right subclavian and right internal jugular vein. Mild-to-moderate cardiomegaly is stable. Mild pulmonary venous engorgement and mediastinal widening is stable. There is no pulmonary edema or pneumonia. Pleural effusions are small if any.", "role": "assistant" } ]
[ "../images/7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. No evidence of pneumonia. 2. Right PICC line has been pulled back now and now ends just proximal to the junction of the right subclavian and right internal jugular vein. 3. Mild pulmonary venous engorgement and mild mediastinal widening are stable.", "role": "assistant" } ]
[ "../images/7b714b4a-a32cd9a3-99984154-eacb273a-b64ec97a.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 with the immediate prior study of earlier on the same day there has been new or right middle lobe and right lower lobe collapse. There is likely trace associated layering right pleural effusion. The endotracheal tube terminates 4.3 cm from the carina. A left subclavian central venous catheter terminates the junction of the SVC with the brachiocephalic vein. An enteric tube courses below the diaphragm and outside of the field of view. An inferior approach central venous catheter terminates in the IVC, unchanged. There is no left-sided pleural effusion or consolidation.", "role": "assistant" } ]
[ "../images/e3e6cc59-4cfa69f0-eb73c903-0346145f-f6ae821f.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. Interval right middle lobe and right lower lobe collapse. 2. Endotracheal tube terminates 4.3 cm from the carina. NOTIFICATION: The findings were discussed with ___, M.D. by ___ ___, M.D. on the telephone on ___ at 5:09 PM, 50 minutes after discovery of the findings.", "role": "assistant" } ]
[ "../images/e3e6cc59-4cfa69f0-eb73c903-0346145f-f6ae821f.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. Interval removal of a double-lumen right internal jugular large-bore catheter. The heart remains mildly enlarged. Overall mediastinal contours are likely stable given patient rotation on the current study. Lung volumes are somewhat low with no focal airspace consolidation to suggest pneumonia. Some crowding of the perihilar vasculature, but no overt pulmonary edema. No effusions. No large pneumothorax.", "role": "assistant" } ]
[ "../images/93a674e7-7bde63bd-1ebe3a67-b6eddd64-f55473fe.jpg", "../images/a916f2a6-990e0179-c6395681-9159f006-35377a30.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. Worsening pulmonary and mediastinal vascular congestion with low lung volumes and new mild pulmonary edema. 2. No evidence of pneumonia.", "role": "assistant" } ]
[ "../images/a3c2266d-8b1ffac0-48100adb-18621806-7ba7faa5.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's condition required examination in sitting semi-upright position using AP frontal and left lateral view. Comparison is made with the next preceding portable supine chest examination of ___. The patient is now extubated. On the frontal view, no evidence of significant cardiac enlargement and the pulmonary vasculature is not congested. A right-sided PICC line can be identified, seen to terminate overlying the right-sided mediastinal structures corresponding to the middle third of the SVC. No pneumothorax is seen. In comparison with the next preceding portable examination of ___, no evidence of new parenchymal infiltrates that indicate a pneumonia.", "role": "assistant" } ]
[ "../images/523be3eb-55688f06-fa67a8c0-a8c3d057-f92ca087.jpg", "../images/47a73d2b-688c752b-cfa51ca5-f39441b9-830e80ec.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "ET tube tip is 3.5 cm above the carinal. NG tube tip passes below the diaphragm terminating in the stomach. Cardiomediastinal silhouette is unchanged. Left the area hilar opacity is slightly more conspicuous and might be consistent with progressing infectious process. Left lower lobe atelectasis is unchanged.", "role": "assistant" } ]
[ "../images/661a83d2-e84a4cd7-d05d7218-a81de999-15a66bea.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 ___, the extent of substantial patient or respiratory motion greatly degrades the image, making it very difficult to adequately assess the pulmonary vascularity and the lungs. A repeat study is recommended.", "role": "assistant" } ]
[ "../images/f66fce26-7c002d5f-2c12f63f-8dd12c3a-92ec73bf.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": "Comparison to ___. No relevant change. Lung volumes are low. The monitoring and support devices are in stable correct position. Moderate cardiomegaly with mild fluid overload but no overt pulmonary edema. Minimal pleural fluid along the minor fissure on the right. No evidence of pneumonia.", "role": "assistant" } ]
[ "../images/431a17b6-190ff348-b3f07795-8b75e49c-9c2e5030.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": "No definite focal consolidation is seen. There is no pleural effusion or pneumothorax. Cardiac and mediastinal silhouettes are grossly stable given differences in technique and inspiration. Pulmonary vascular congestion is seen. Slight prominence of the left hilum has been seen over several prior studies in likely relates to vascular structures.", "role": "assistant" } ]
[ "../images/3ed3bb4b-239e165f-32a0305f-6e40b696-afdec18d.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 focal consolidation to suggest pneumonia. Pulmonary vascular congestion.", "role": "assistant" } ]
[ "../images/3ed3bb4b-239e165f-32a0305f-6e40b696-afdec18d.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "As compared to the previous radiograph, there is no relevant change. Unchanged monitoring and support devices. Unchanged moderate cardiomegaly with signs of mild fluid overload. Left and right basal atelectasis. Potential small-to-moderate right pleural effusion. No left pleural effusion. No interval appearance of new parenchymal opacities.", "role": "assistant" } ]
[ "../images/ffd311aa-b1ad24f7-29b178ef-4423264a-d0298e46.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": "Comparison to ___. No relevant change. The position of the endotracheal tube, of the left central venous access line and of the feeding tube is stable. Moderate trach intracardiac atelectasis. Mild cardiomegaly. Mild pulmonary edema. A pre-existing right lower lung atelectasis has resolved.", "role": "assistant" } ]
[ "../images/32857e2f-0b7d1d34-77083bdf-dc8f1be8-d456e85c.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 ___: Severe cardiomegaly and mediastinal vascular engorgement are stable. Pulmonary edema is mild, but small bilateral pleural effusions have increased. No pneumothorax. ET tube is in standard placement. Right central venous line ends just proximal to the origin of the SVC. No pneumothorax.", "role": "assistant" } ]
[ "../images/94baae89-465cf7b4-d12f450e-b149838d-67c2edb4.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": "Comparison to ___. Unchanged monitoring and support devices that are all in correct position. Moderate cardiomegaly persists. A fissure oral fluid accumulation on the right has completely resolved. Left retrocardiac atelectasis and potential minimal left pleural effusion is stable. Mild fluid overload is unchanged.", "role": "assistant" } ]
[ "../images/ebaf1946-49389902-bfa1191f-e932bc43-ece7d70d.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There is moderate cardiomegaly which is unchanged compared to previous studies. The left hilum is enlarged but stable. No pleural effusion or pneumothorax are seen. There is an opacity of left lower lobe that likely reflects developing pneumonia versus atelectasis.", "role": "assistant" } ]
[ "../images/23e4102f-653bff1f-e3b35573-f3e54b6a-472f2c8a.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 lower lobe opacification that represents developing pneumonia versus atelectasis.", "role": "assistant" } ]
[ "../images/23e4102f-653bff1f-e3b35573-f3e54b6a-472f2c8a.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Portable semi-upright radiograph of the chest demonstrates a stable cardiomediastinal silhouette as seen on prior examinations, with mediastinal widening. An elevated right hemidiaphragm is again seen. The left lung base is not visualized. No focal consolidation is identified in the visualized lung fields. Given supine technique, it is difficult assess for pleural effusion or pneumothorax.", "role": "assistant" } ]
[ "../images/b90427be-b8e2a5b2-d96a239f-5b791587-230e2fe5.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 change since recent prior.", "role": "assistant" } ]
[ "../images/b90427be-b8e2a5b2-d96a239f-5b791587-230e2fe5.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "In comparison with the study of ___, there is little overall change. Again there is increased opacification in the left mid and lower lung zones. Although this could merely represent extensive atelectasis, in the appropriate clinical setting superimposed pneumonia would have to be seriously considered. Continued low lung volumes with enlargement of the cardiac silhouette and mild pulmonary vascular congestion.", "role": "assistant" } ]
[ "../images/d47b1887-47d16d76-fc1df56f-5a5cd514-a9f91c9e.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 patient has received a new Dobbhoff tube. The tip of the tube projects over the middle parts of the stomach. The course of the tube is unremarkable. There is no evidence of complications, notably no pneumothorax. Otherwise, the radiographic appearance of the thoracic organs is similar to the previous examination.", "role": "assistant" } ]
[ "../images/d89f6431-69df909d-747f1354-8a38a37f-5835e7aa.jpg", "../images/d43be646-19f03d73-110ab467-b77f44ad-4f285803.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": "In comparison with the study of ___, there is no evidence of pneumothorax following unsuccessful CVP attempt. Cardiac silhouette is enlarged and there is increased prominence of ill-defined pulmonary vessels, consistent with elevated pulmonary venous pressure. The elevation of the right hemidiaphragmatic contour is more prominent on this examination.", "role": "assistant" } ]
[ "../images/292e260b-5f2cf60c-0422ecb6-9200cc0f-ef9654d4.jpg", "../images/3dd7fadc-472e29be-47a89d67-912975dd-439fad53.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 ___: Lung volumes have improved and pulmonary and mediastinal vascular engorgement have decreased since ___. There is no good evidence for pneumonia and pleural effusions are small if any. Mild-to-moderate cardiomegaly unchanged. Right PIC line ends just before the junction of the brachiocephalic veins. No pneumothorax.", "role": "assistant" } ]
[ "../images/28aa3e49-8e7893ad-3231b746-f00018b0-7d9eadd4.jpg", "../images/2f10769e-95f1782e-58bcd178-a4cd46d2-cd832272.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 supine portable view of the chest was obtained. The patient is rotated to the right. Cardiac and mediastinal silhouettes are stable. There is mild elevation of the right hemidiaphragm. No definite focal consolidation is seen. Mild pulmonary vascular congestion is improved. Patchy opacity at the left lung base is seen; nonspecific, but could be due to infection or aspiration. Dedicated PA and lateral views if and when patient able, would be helpful for further evaluation. No large pleural effusion or pneumothorax.", "role": "assistant" } ]
[ "../images/41ac266f-165c8df4-32f6976e-54066ffd-f078337c.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. Patchy left base opacity could be due to aspiration or infection. 2. Mild pulmonary vascular congestion has improved in the interval. Stable cardiomediastinal silhouette.", "role": "assistant" } ]
[ "../images/41ac266f-165c8df4-32f6976e-54066ffd-f078337c.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 patient is status of previous radiation therapy in the right lung, with associated geographically marginated radiation fibrosis in the right paramediastinal and hilar regions with associated volume loss in the right lung. Pleural thickening at the right apex and right costophrenic angle also appear stable. Heterogeneous lung opacities in the right lung on the ___ radiograph have resolved. No new areas of consolidation are identified. A sub cm nodular opacity is seen in the periphery of the right lower lung and appears unchanged from ___ radiograph, corresponding to a subpleural nodule on CT of ___.", "role": "assistant" } ]
[ "../images/9cac5e9e-a11f21ce-17358ddc-fe61c0b1-db4019ec.jpg", "../images/12f2d9bf-89dc902e-a9cd6aaa-22c63b63-c5abd408.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. Resolution of pneumonia since ___ radiograph. No evidence of recurrence pneumonia", "role": "assistant" } ]
[ "../images/9cac5e9e-a11f21ce-17358ddc-fe61c0b1-db4019ec.jpg", "../images/12f2d9bf-89dc902e-a9cd6aaa-22c63b63-c5abd408.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 no new lung opacities. Right lower lobe lung nodule measuring 8 mm is stable since the CT scan of ___. Biapical post-radiation changes are also chronic. Mediastinal and cardiac contours are stable. There is no pneumothorax or pleural effusion. Fusion between the posterior arch of the sixth and seventh right ribs is congenital. CONCLUSION: There is no significant change since prior exam. There is no pneumonia.", "role": "assistant" } ]
[ "../images/a47d5235-f25baa2b-144829d5-d09c13eb-c45821cc.jpg", "../images/a4545835-8e2344ba-657ac4df-46fb4c91-d34c50ee.jpg" ]
mimic_findings