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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": "A new enteric catheter ends either at the gastric antrum or first portion of the duodenum. Lung volumes are low, causing exaggeration of the heart size and accentuation of the pulmonary vasculature. The lungs are clear. The heart size is normal. The descending thoracic aorta is slightly tortuous. There are no pleural effusions. No pneumothorax is seen.", "role": "assistant" } ]
[ "../images/76e72399-4ee134f7-c1d4538e-8c0a7451-bacc3a48.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 acute cardiac or pulmonary process. 2. New enteric catheter ends either in the gastric antrum or first portion of the duodenum.", "role": "assistant" } ]
[ "../images/76e72399-4ee134f7-c1d4538e-8c0a7451-bacc3a48.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. Mild bibasilar atelectasis is seen. Subtle opacity at the right lung base most likely represents atelectasis, less likely consolidation. No definite discrete focal consolidation is seen. There is no pleural effusion or pneumothorax. The cardiac silhouette is top normal to mildly enlarged. The aorta is calcified and tortuous. Degenerative changes are seen along the spine.", "role": "assistant" } ]
[ "../images/57f7f75e-91517fb3-4071303d-6f325ed5-5daca800.jpg", "../images/d51e424a-a44ba612-1f92bcc5-32008577-36bdedd0.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": "Again, there are low lung volumes. Mild blunting of the costophrenic angles may in part relate to low lung volumes with likely trace pleural effusions. Additional subtle bibasilar opacities likely represent atelectasis. The patient is rotated to the right. The cardiac and mediastinal silhouettes are similar with the cardiac silhouette possibly slightly less prominent as compared to the prior study. No evidence of pneumothorax is seen. Chronic deformity of the right clavicle is again noted.", "role": "assistant" } ]
[ "../images/97e98c24-079ba543-3cfe0fbe-b97b30b8-bbd0e9a5.jpg", "../images/b6efc4df-c96de5ed-5551d21b-f99936ca-082ca79e.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "The lungs appear hyperinflated, but are without consolidation or parenchymal abnormality. The cardiomediastinal silhouette appears unremarkable. No pleural effusion or pneumothorax is seen. Bilateral, stable, and symmetric apical pleural scarring is seen. Surgical clips are seen in the left upper abdominal quadrant.", "role": "assistant" } ]
[ "../images/939fd73d-90b151b7-0fd1e28a-f74c0f61-e2cb7917.jpg", "../images/38a9b23d-4349cfb4-451a3bfd-346ed01f-b4360327.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 disease.", "role": "assistant" } ]
[ "../images/939fd73d-90b151b7-0fd1e28a-f74c0f61-e2cb7917.jpg", "../images/38a9b23d-4349cfb4-451a3bfd-346ed01f-b4360327.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": "Lungs are well inflated. Mild bilateral apical scarring noted. Subtle peribronchial opacity only seen on frontal view in the left lung superior and lateral to the left hilus is unchanged since prior examination. The lungs are otherwise clear. No pleural effusion or pneumothorax. Heart size, mediastinal contour, and hila are unremarkable. Visualized osseous structures are notable for anterior cervical spine fusion device. Mediastinal clips are again seen within the left upper quadrant.", "role": "assistant" } ]
[ "../images/cfc5e042-6a1ddb0b-cce9c058-196b90bb-66e5851f.jpg", "../images/232aed3a-74900285-3fa279f4-43c5af2a-e8406c03.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 subtle peribronchial opacity in left lung is worrisome for early pneumonia in the appropriate clinical setting.", "role": "assistant" } ]
[ "../images/cfc5e042-6a1ddb0b-cce9c058-196b90bb-66e5851f.jpg", "../images/232aed3a-74900285-3fa279f4-43c5af2a-e8406c03.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 ___: Dense consolidation in all the basal segments of the left lower lobe has progressed since ___. This could be either chronic collapse, or less likely chronic collapse with a component of pneumonia. Right lung is clear. Left pleural effusion, small if any, is a function of the persistent basal atelectasis. Heart size is normal.", "role": "assistant" } ]
[ "../images/4347b81b-2a702858-6a330ca4-e115c0ac-f1017427.jpg", "../images/a7d67b35-718b5b5e-9bf046ea-18c54b0d-4b153123.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. Cervical fusion hardware is noted. Lungs are hyperinflated. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen. Tiny clips seen in the left upper quadrant.", "role": "assistant" } ]
[ "../images/d165b008-6569b2ab-6899ea6b-f3f5f10e-481cc0dd.jpg", "../images/3a00ab90-4563967d-ad46d969-ae884a78-c7f2dd2b.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 intrathoracic process.", "role": "assistant" } ]
[ "../images/d165b008-6569b2ab-6899ea6b-f3f5f10e-481cc0dd.jpg", "../images/3a00ab90-4563967d-ad46d969-ae884a78-c7f2dd2b.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 ___. Normal heart, lungs, hila, mediastinum and pleural surfaces. A right PICC line ends in the region of the superior cavoatrial junction. Patient has had a stabilization surgery of the lower cervical spine.", "role": "assistant" } ]
[ "../images/92d9fd50-81412806-b71e4d05-9ef38071-6b25204c.jpg", "../images/3a432ca2-728bb41b-d1d64eb8-cbab2f76-a11945ef.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. Right PICC is seen with tip best delineated on the lateral view within the lower SVC. Retrocardiac opacity persists but is improved since exam ___ days prior. Superiorly, the lungs are clear. The cardiomediastinal silhouette is within normal limits. No acute osseous abnormality is identified. Surgical clips project over the left upper quadrant. Cervical fixation hardware is identified.", "role": "assistant" } ]
[ "../images/78abcbc7-6b5aa7c5-013f4e3b-2fd7d3b6-6a5986ee.jpg", "../images/18fa01c7-38307c4a-1dd8c7be-5e380391-098fa83f.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": "Resolving left lower lobe opacity compared to exam from four days prior. Right PICC tip in the distal SVC.", "role": "assistant" } ]
[ "../images/78abcbc7-6b5aa7c5-013f4e3b-2fd7d3b6-6a5986ee.jpg", "../images/18fa01c7-38307c4a-1dd8c7be-5e380391-098fa83f.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 an opacity at the base of the left lung that is consistent with a left lower lobe pneumonia. The cardiomediastinal silhouette and hilar contours are normal. The pleural surfaces are clear without effusion or pneumothorax.", "role": "assistant" } ]
[ "../images/117eb2b7-898e9ead-83d83cb1-c1bd5852-60ba72f4.jpg", "../images/2d4ccede-25c8c78f-2cd4c037-4558ffea-2317badd.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 lower lobe pneumonia.", "role": "assistant" } ]
[ "../images/117eb2b7-898e9ead-83d83cb1-c1bd5852-60ba72f4.jpg", "../images/2d4ccede-25c8c78f-2cd4c037-4558ffea-2317badd.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 left PICC which terminates within the upper SVC. The lungs are clear of focal consolidation, pleural effusion or pneumothorax. The heart size is normal. The mediastinal contours are normal.", "role": "assistant" } ]
[ "../images/fd043f2e-fb851408-681f3799-13b1ec21-5a635d01.jpg", "../images/df768ec0-58930767-c9b998d4-d99867af-9f1ef7c6.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. Left PICC terminates within the proximal SVC.", "role": "assistant" } ]
[ "../images/fd043f2e-fb851408-681f3799-13b1ec21-5a635d01.jpg", "../images/df768ec0-58930767-c9b998d4-d99867af-9f1ef7c6.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": "Right PICC terminates at in mid SVC. There is no consolidation, pleural effusion, or pneumothorax. Cardiomediastinal and hilar silhouettes are normal size. Cervical spine hardware is partially included.", "role": "assistant" } ]
[ "../images/4e536fbd-1d3c1f99-c3494ba6-918a4177-3e3b72ff.jpg", "../images/63613222-d2216c2e-d4ff5b88-43805695-99256e40.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 radiographic evidence of pneumonia.", "role": "assistant" } ]
[ "../images/4e536fbd-1d3c1f99-c3494ba6-918a4177-3e3b72ff.jpg", "../images/63613222-d2216c2e-d4ff5b88-43805695-99256e40.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 chest radiographs since ___, most recently ___. Lungs are well expanded and clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal. Stabilization hardware projects over the lower cervical spine, along with vascular clips.", "role": "assistant" } ]
[ "../images/ea89b622-63cd1a03-7338ee75-9ccef395-57d58bdc.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": "Two frontal images of the chest demonstrate well-expanded lungs that are clear. The cardiomediastinal silhouette is unremarkable. There is no pneumothorax or pleural effusion. There is cervical fixation hardware noted along the cervical spine. Otherwise, osseous structures are unremarkable.", "role": "assistant" } ]
[ "../images/bd752951-5d4e5b88-c3f34820-c9e7fcd4-1d2b4af7.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": "Essentially normal chest radiograph with no evidence of pneumonia.", "role": "assistant" } ]
[ "../images/bd752951-5d4e5b88-c3f34820-c9e7fcd4-1d2b4af7.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 ___ through ___. New, small region of peribronchial opacification in the left lung just superior and lateral to the left hilus, could be early pneumonia. Lungs elsewhere are clear. Cardiomediastinal and hilar silhouettes and pleural surfaces are normal.", "role": "assistant" } ]
[ "../images/3f51e0cc-57c81b2d-9141e165-0ca2c8c7-b04610ed.jpg", "../images/31639564-55c66aa7-7df2435c-cd3f159f-35b723f1.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. Surgical hardware in the lower C-spine noted. Clips in the left upper quadrant are present. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "role": "assistant" } ]
[ "../images/63b80213-438bb6c2-4d070fea-92d5e59e-87611ef8.jpg", "../images/076a4be2-5c874ed2-8924ba25-a91078bf-433b46a2.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 intrathoracic process.", "role": "assistant" } ]
[ "../images/63b80213-438bb6c2-4d070fea-92d5e59e-87611ef8.jpg", "../images/076a4be2-5c874ed2-8924ba25-a91078bf-433b46a2.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. Specifically, there is no evidence of pulmonary vascular congestion or acute focal pneumonia. Cervical fusion device is seen.", "role": "assistant" } ]
[ "../images/f43ed85f-f693419c-ca41ad14-854149c7-81bf7afe.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "As compared to previous radiograph of ___, cardiomediastinal contours are stable in appearance. Lungs are clear, with no new areas of consolidation to suggest the presence of pneumonia. There is no pleural effusion or pneumothorax.", "role": "assistant" } ]
[ "../images/bbe6ecaf-aac06564-603fea4c-3e3026e0-8a5cb7c8.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. Cervical spinal hardware again noted. Clips noted in the upper abdomen. There is no focal consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Imaged osseous structures are intact. No free air below the right hemidiaphragm is seen.", "role": "assistant" } ]
[ "../images/b91c97ed-5177ed0b-fa1759b1-28b3e6ac-e518d525.jpg", "../images/4395551b-f2717eed-fcd629df-804bb762-a356218d.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 intrathoracic process.", "role": "assistant" } ]
[ "../images/b91c97ed-5177ed0b-fa1759b1-28b3e6ac-e518d525.jpg", "../images/4395551b-f2717eed-fcd629df-804bb762-a356218d.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "New left lower lobe linear opacity that might reflect developing/resolving infectious involving infectious process versus atelectasis. Tracheomegaly.", "role": "assistant" } ]
[ "../images/a628980c-8235948c-af0bf50a-9aec5850-fcd593fc.jpg", "../images/0d36ddb1-6fc61579-9d388097-85a29b72-2b1223b9.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": "Heart size and cardiomediastinal contours are normal. Lungs are clear without focal consolidation, pleural effusion, or pneumothorax. Cervical spine fusion hardware and clips in the left upper abdomen are similar to prior.", "role": "assistant" } ]
[ "../images/e4e80f9c-ef266d33-c4aa87bf-f8071057-a744c102.jpg", "../images/b4ea00dd-29a8687d-10b1e7eb-d6d1cd5b-ebd65d6c.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/e4e80f9c-ef266d33-c4aa87bf-f8071057-a744c102.jpg", "../images/b4ea00dd-29a8687d-10b1e7eb-d6d1cd5b-ebd65d6c.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 the recent radiograph of 1 day earlier, the position of the Dobhoff tube in the stomach is not appreciably changed. Heart size remains normal, and lungs are clear.", "role": "assistant" } ]
[ "../images/3fc3893f-6a756dad-3cfcb050-5d1e7080-9ef06032.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 ___: Unfortunately the region of the larynx where one would look for a cause of stridor, is not included on this study. There is a suggestion of narrowing of the airway, but that can be a normal finding in an elderly patient. Lungs are clear. Heart size is normal. There is mild widening of the mediastinum which could be due to venous engorgement, and a vertically oriented air collection projecting to the left of the trachea along the aortic arch could be a swallow in the esophagus, however given concern about esophageal perforation, CT scanning is indicated to exclude air and fluid in the mediastinum. Dr. ___ ___ I discussed this case by telephone at the time of dictation.", "role": "assistant" } ]
[ "../images/ea1dfe84-8bf677b6-f51b1859-160571df-4fd62876.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 are some increasing atelectatic changes at the left base with some blunting of the costophrenic angle that could reflect a small amount of pleural fluid. Otherwise, little change with no definite focal pneumonia or vascular congestion.", "role": "assistant" } ]
[ "../images/63d37384-184136e7-97b99c44-25b314ac-ecd14631.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 change or evidence of acute cardiopulmonary disease. The lungs are clear and there is no vascular congestion or pleural effusion. Of incidental note is dilatation of the trachea consistent with the patient's known tracheomalacia. The esophageal capsule is no longer present and there are surgical clips in the upper abdomen.", "role": "assistant" } ]
[ "../images/6f0df7c5-cee98aac-b4fc19b7-744a0567-9bae6dfa.jpg", "../images/550025f0-fb28013b-e174e563-a9c2dc35-c3f0b4d0.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": "On the hyperinflated. There is no focal consolidation, pleural effusion or pneumothorax. Apical pleural thickening bilaterally is stable. The cardiomediastinal silhouette is normal. The imaged upper abdomen is unremarkable. The bones are intact. Clips in the left upper quadrant are noted. Cervical fusion hardware is noted.", "role": "assistant" } ]
[ "../images/e3175ea1-01a77a5f-f7f0522d-d4eaa2ff-222ad571.jpg", "../images/39c36e59-7b5c308e-a9153759-84676a45-4cadadf0.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/e3175ea1-01a77a5f-f7f0522d-d4eaa2ff-222ad571.jpg", "../images/39c36e59-7b5c308e-a9153759-84676a45-4cadadf0.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 cardiac, mediastinal and hilar contours appear stable. The heart is normal in size. There is no pleural effusion or pneumothorax. The lungs appear clear. The patient is status post anterior cervical fusion. Surgical clips project over the left upper quadrant. There has been no significant change.", "role": "assistant" } ]
[ "../images/9b7221b8-2d0ff716-48b063be-059cbf7f-d53d72e1.jpg", "../images/eaf779dc-f580b7b8-168b1b3c-53ee66c1-21268250.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No evidence of acute cardiopulmonary disease.", "role": "assistant" } ]
[ "../images/9b7221b8-2d0ff716-48b063be-059cbf7f-d53d72e1.jpg", "../images/eaf779dc-f580b7b8-168b1b3c-53ee66c1-21268250.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": "Cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature is normal. Lungs appear clear. The previously noted patchy opacity within the right lower lobe seen on CT is not well visualized on the current exam. No pleural effusion or pneumothorax is present. Cervical spinal fusion hardware is partially imaged. Several clips are noted within the left upper quadrant of the abdomen.", "role": "assistant" } ]
[ "../images/5d38b235-8992ecec-2b630078-d290f396-00fdf5db.jpg", "../images/b43f1646-506a2bd6-50a28dbd-2d7d2162-eda74210.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. Of note, the patchy opacity within the right lower lobe seen on prior CT is not visualized on the current radiograph.", "role": "assistant" } ]
[ "../images/5d38b235-8992ecec-2b630078-d290f396-00fdf5db.jpg", "../images/b43f1646-506a2bd6-50a28dbd-2d7d2162-eda74210.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": "Chest PA and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. Lungs are clear. No pleural effusion or pneumothorax evident. There has been interval placement of a Bravo pH capsule projecting in the expected location of the distal esophagus. Surgical clips are seen in the upper abdomen.", "role": "assistant" } ]
[ "../images/4f1bb588-0dc670a4-6ec07af4-aa421e00-6bd3d8db.jpg", "../images/cfb89eed-31e856eb-8dd16dc1-b7337ecf-1bec8801.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 intrathoracic process.", "role": "assistant" } ]
[ "../images/4f1bb588-0dc670a4-6ec07af4-aa421e00-6bd3d8db.jpg", "../images/cfb89eed-31e856eb-8dd16dc1-b7337ecf-1bec8801.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. Normal size of the cardiac silhouette. Vertebral fixation device is in the cervical spine. No pneumonia, no pleural effusions. Normal size of the cardiac silhouette. No pulmonary edema.", "role": "assistant" } ]
[ "../images/705d8098-599ee69b-ab0b9267-00def4fb-b2410a5d.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": "Cardiomediastinal contours are normal. The lungs are clear. There is no pneumothorax or pleural effusion. The osseous structures are unremarkable surgical clips project in the left upper quadrant of the abdomen. External device obscures partially the left hilum", "role": "assistant" } ]
[ "../images/5c46aa81-80ce61d5-b0876cbf-447acc20-e262c237.jpg", "../images/2a443c5b-911d577f-f0f52f16-9d2662c4-4c3a0fad.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No acute cardiopulmonary abnormalities", "role": "assistant" } ]
[ "../images/5c46aa81-80ce61d5-b0876cbf-447acc20-e262c237.jpg", "../images/2a443c5b-911d577f-f0f52f16-9d2662c4-4c3a0fad.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "In comparison with study of ___, there is little change and no evidence of acute cardiopulmonary disease. The heart is normal in size, and there is no acute pneumonia, vascular congestion, or pleural effusion. The right PICC line has been removed and the cervical fusion is again seen.", "role": "assistant" } ]
[ "../images/01b9b26f-ff910315-d75bbc0e-5d092e8b-30ae245b.jpg", "../images/0636d0c0-a771097e-ac0c52a9-9124a5d0-95b0bc51.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. Comparison is made with next preceding two-view chest examination obtained six hours earlier during the same day. Heart size remains normal. No configurational abnormalities identified. Unchanged appearance of thoracic aorta. No pulmonary vascular congestion is present. No new pulmonary parenchymal infiltrates are identified and the lateral and posterior pleural sinuses are free. There is evidence of a metallic fixation plate in the lower portion of the cervical spine and in the upper left abdominal quadrant surgical clips are noted; cause of operation not identified. Similar as on the preceding portable chest examination, a right-sided PICC line is identified, seen to terminate in the SVC at a level 3 cm below the carina.", "role": "assistant" } ]
[ "../images/a025f08e-de9dddc4-8716a1ac-899ce213-d7289c7a.jpg", "../images/77627414-f5a7090e-25aa3533-2b99b3af-0c5abf63.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No evidence of acute infiltrate in patient with history of productive cough.", "role": "assistant" } ]
[ "../images/a025f08e-de9dddc4-8716a1ac-899ce213-d7289c7a.jpg", "../images/77627414-f5a7090e-25aa3533-2b99b3af-0c5abf63.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 PICC has been removed in the interim. The lungs are well-expanded and clear. No focal consolidation, effusion, edema, or pneumothorax. The heart size is normal. The mediastinum is not widened. Surgical clips project over the left upper quadrant, unchanged. Anterior spinal fixation in the lower cervical spine is partially imaged. Multilevel degenerative changes in the thoracic spine are mild. Rightward curvature of the thoracic spine could be positional though was also present on ___.", "role": "assistant" } ]
[ "../images/09eef487-ce5f18a5-ba553a04-30f2617c-4f4a6692.jpg", "../images/0e446eb6-02bb584e-6ef1f95a-ad6430c9-f5669b5c.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 focal pneumonia.", "role": "assistant" } ]
[ "../images/09eef487-ce5f18a5-ba553a04-30f2617c-4f4a6692.jpg", "../images/0e446eb6-02bb584e-6ef1f95a-ad6430c9-f5669b5c.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 AP upright portable view of the chest was obtained. The lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease. The cardiac silhouette is enlarged. Evidence of hiatal hernia is again seen. The aorta is calcified and tortuous. There is mild pulmonary vascular congestion. There is blunting of the right costophrenic angle which may be due to overlying soft tissue, though a small pleural effusion cannot be excluded. Bibasilar atelectasis is seen without discrete focal consolidation.", "role": "assistant" } ]
[ "../images/edbc95bb-75d52166-1e3ecf1b-24889c9f-9598b9a9.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. Cardiomegaly and minimal pulmonary vascular congestion. Blunting of the right costophrenic angle may be due to overlying soft tissue, although a trace effusion cannot be excluded. 2. Hiatal hernia.", "role": "assistant" } ]
[ "../images/edbc95bb-75d52166-1e3ecf1b-24889c9f-9598b9a9.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 ___: Persistently consolidated right middle lobe may have increased in volume since ___ raising concern for postobstructive infection, which could also be responsible for the increase in small right pleural effusion. Extensive right hilar and mediastinal adenopathy is unchanged. Left lung clear. Heart size normal. A skin fold of the right upper hemithorax should not be mistaken for pneumothorax. I have discussed the preliminary report to the contrary with the clinical care team, at the time of this dictation. A substantial increase in shortness of breath could be due to acute pulmonary embolism, given the extensive intrathoracic malignancy.", "role": "assistant" } ]
[ "../images/30f6ed61-a49ee720-ba423996-56ae29fa-88f76b59.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. Persistent consolidation in the right middle and lower lung consistent with post obstructive pneumonia. More focal linear opacity at the left base likely reflects subsegmental atelectasis. No evidence of pulmonary edema or pleural effusions. No pneumothorax. Overall, cardiac and mediastinal contours are likely stable. Soft tissue opacity in the right paratracheal region most likely represents lymphadenopathy when correlated with a recent CT scan.", "role": "assistant" } ]
[ "../images/f961f806-615b33d3-168639c0-b14af1da-ce8962b2.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 ___, 6:33 p.m.: There is no pneumothorax. Small-to-moderate right pleural effusion is stable. There is more consolidation in the right lung outside the entirely consolidated right middle lobe, and suggestion of new consolidation at the base of the left lung which might be due to spillover pneumonia originating in the obstructed right middle lobe. Extensive mediastinal and right hilar adenopathy unchanged. No left pleural effusion. No cardiomegaly.", "role": "assistant" } ]
[ "../images/174bc762-69cee932-214e862b-e75fe715-f1300a15.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. Extensive mediastinal right-sided adenopathy with potential volume loss in the right upper lobe. Extensive consolidation at the right lung base. No newly appeared focal parenchymal opacities. No change in size and aspect of the cardiac silhouette. No pleural effusions.", "role": "assistant" } ]
[ "../images/2a14617b-2d5db3d5-34f04c3f-f0794b78-c9a89f06.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. Persistent consolidation in the right middle lobe which likely reflects post-obstructive pneumonia. More patchy opacity at the left base represents patchy atelectasis, although aspiration or pneumonia in this vicinity should also be considered. No evidence of pulmonary edema. A right hilar and right paratracheal soft tissue opacity represents lymphadenopathy when correlated with CT images of ___. No pneumothorax. No acute bony abnormality appreciated. Overall cardiac size is likely stable.", "role": "assistant" } ]
[ "../images/3b04e467-f4e68e88-9a1a42b3-5ed80b6a-b0b3015f.jpg", "../images/e4ecf4d9-5ce7b0e1-e325db2b-85ecca33-c69c8031.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "As compared to the previous radiograph, there is unchanged evidence of extensive right mediastinal adenopathy. The large right lower lung parenchymal opacity is unchanged in extent and severity. No newly appeared focal parenchymal opacities. Unchanged size of the left heart contour.", "role": "assistant" } ]
[ "../images/4774ead7-71b48825-eef17477-bde904ec-11a19e52.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "A right middle lobe consolidation persists and is consistent with the patient's known post-obstructive pneumonia. There is no new consolidation. A small right pleural effusion is unchanged. There is no pneumothorax. Mild enlargement of the right hilum is consistent with the patient's known lymphadenopathy, although it is better evaluated on recent CT scan. The cardiac silhouette is normal.", "role": "assistant" } ]
[ "../images/30105040-38b1165a-cdffbc34-0acc1b2b-1a69a7b9.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. Stable right middle lobe pneumonia and small right pleural effusion. 2. No significant change from prior radiograph.", "role": "assistant" } ]
[ "../images/30105040-38b1165a-cdffbc34-0acc1b2b-1a69a7b9.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 is no pneumothorax or appreciable right pleural effusion. However, consolidation in the right middle lobe and more heterogeneous opacification in the right lower lobe may have increased since the previous study. Extensive adenopathy in the right hilus and particularly in the paratracheal mediastinum suggests two diagnostic possibilities, obstructing malignancy or primary tuberculosis. Left lung is grossly clear and the heart size is normal.", "role": "assistant" } ]
[ "../images/a18c7507-2e69a04b-701ddbf9-526439aa-c754e39b.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "The heart is normal in size. There is new lobular thickening of the right upper mediastinum and also a nodular appearance to the right hilum. Widespread opacity is present in the right middle lobe. Elsewhere, the lungs appear clear. There is no pleural effusion or pneumothorax. Minimal degenerative changes are noted along the mid thoracic spine.", "role": "assistant" } ]
[ "../images/b5362301-4fdc5dd0-c51d857d-fa8af958-4eac8251.jpg", "../images/b9d07ae5-876bb931-85ce766f-8dc425d4-5948363d.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": "Widespread right middle lobe opacity worrisome for pneumonia, but a post-obstructive pneumonitis should be considered, noting abnormal contours of the right upper mediastinum and right hilum. Evaluation with chest CT, preferably with intravenous contrast, is recommended to evaluate further to consider the possibly of coinciding malignancy.", "role": "assistant" } ]
[ "../images/b5362301-4fdc5dd0-c51d857d-fa8af958-4eac8251.jpg", "../images/b9d07ae5-876bb931-85ce766f-8dc425d4-5948363d.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 AP view of the chest is provided. There has been interval placement of a right internal jugular line with tip residing in the distal SVC. There is no pneumothorax. Again seen are irregularly marginated opacities in the left and right lung zones. Chronic pleural thickening is unchanged from prior. Again seen is mild cardiomegaly. There is no pleural effusion.", "role": "assistant" } ]
[ "../images/a231b16b-dd2f002a-f99f05d9-20a0f431-bbeee698.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Interval placement of right internal jugular line with tip in the distal SVC. No pneumothorax. Unchanged appearance of the lungs.", "role": "assistant" } ]
[ "../images/a231b16b-dd2f002a-f99f05d9-20a0f431-bbeee698.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 an irregular rounded opacity in the left mid lung zone, which was previously seen on ___ and ___ and thought to represent an area of round atelectasis which has resolved in the interim and recurred. Bilateral pleural plaques and pleural thickening is unchanged from prior studies. Increased hazy opacification of the lungs may represent mild pulmonary edema. No pleural effusion or pneumothorax is detected. The cardiac silhouette is mildly enlarged but stable. Prominence of the mediastinum is unchanged with tortuosity of the thoracic aorta. The lungs remain hyperinflated suggesting COPD.", "role": "assistant" } ]
[ "../images/f2029c31-2acb877f-a7000d23-c119d2f1-b5d4844b.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. Recurrent rounded atelectasis in the left mid lung as seen on the prior CT of ___. 2. Asbestos related lung disease. 3. Hazy opacification of the bilateral lungs may represent mild pulmonary edema.", "role": "assistant" } ]
[ "../images/f2029c31-2acb877f-a7000d23-c119d2f1-b5d4844b.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 endotracheal tube has been removed. The patient has taken a slightly better inspiration. Continued enlargement of the cardiac silhouette without definite pulmonary edema. Atelectatic changes are seen at the bases. Some coarseness of interstitial markings raises the possibility of underlying chronic pulmonary disease. Right IJ catheter tip is in the mid-to-lower SVC.", "role": "assistant" } ]
[ "../images/bed7c512-ac375506-2b7022e0-a8e257bc-dfe0c8c2.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "As compared to prior chest radiograph from ___, there has been interval placement of a Swan-Ganz catheter with the tip slightly beyond the mediastinum. Mild cardiomegaly is unchanged. Irregular bilateral lung opacities are stable. Chronic pleural thickening is unchanged. There are no pleural effusions or pneumothorax.", "role": "assistant" } ]
[ "../images/495e73be-71f5ed15-35bbd67d-363dfe60-32f375b6.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Interval placement of Swan-Ganz catheter with tip slightly beyond the mediastinum, for which consideration of withdrawing a few centimeters is recommended. These findings were discussed with Dr. ___ by Dr. ___ ___ telephone on ___ at 4:30 PM, at time of discovery.", "role": "assistant" } ]
[ "../images/495e73be-71f5ed15-35bbd67d-363dfe60-32f375b6.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 significant change.", "role": "assistant" } ]
[ "../images/2756fb1d-45bdeff0-4f3cab91-67c49af9-04c378d9.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "AP chest compared to ___. Moderate cardiomegaly has increased in size over the past three days following extubation. Greater opacity in the left mid lung laterally could be new pleural effusion or early consolidation, even mild asymmetric edema given severe and extensive lung scarring and pleural thickening and chronic areas of atelectasis which would tend to distribute edema in idiosyncratic fashion. Chronic engorgement of the mediastinal veins is also more pronounced today. No pneumothorax or layering pleural effusion is present.", "role": "assistant" } ]
[ "../images/554fad67-08d3ea82-687b0b92-4825e624-b17ef914.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 monitoring and support devices are in unchanged position. There are improved lung volumes, notably on the left, potentially reflecting increased ventilatory pressure. Currently, there is no overt pulmonary edema. Atelectatic changes are seen at both lung bases, right more than left, no new parenchymal opacities, unchanged moderate cardiomegaly with tortuosity of the thoracic aorta.", "role": "assistant" } ]
[ "../images/2921058d-a6fb076d-8bb4de0c-d43e5b8d-1e91708a.jpg", "../images/bdbdde19-6dd4e8f3-1636aed1-04e54b76-0009a601.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "New ET tube ends 2.9 cm above the carina. Right jugular line is in lower SVC. Left upper lobe rounded atelectasis was better assessed in recent CT, and there is minimal chronic thickening of the pleura at the costodiaphragmatic angles. CONCLUSION: 1. Tube and lines are in adequate position. 2. The remaining of the exam is unchanged without significant acute cardiopulmonary findings.", "role": "assistant" } ]
[ "../images/5e2d7a5c-0cca16ec-3dff48d4-bab26e70-6bea7f6d.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There is a 3-cm irregularly marginated mass in the lingula, which has grown since prior studies. Other previous findings including the right lower lobe round atelectasis and bilateral pleural plaques/pleural thickening appear similar to prior studies. The cardiac silhouette is stable and top normal in size. The aorta is slightly tortuous but stable in appearance. Linear vertically oriented opacity seen in previous chest radiographs appears unchanged, most likely represent scarring adjacent to pleural plaques. Lungs are hyperinflated suggesting COPD. There is stable persistent blunting of the right costophrenic angle and stable interstitial opacities within the lower lungs. Stable multilevel degenerative changes of the thoracic spine are noted. There are scattered areas of focal pleural thickening noted.", "role": "assistant" } ]
[ "../images/a2999df0-0ac91672-f73db8e8-82a07414-44b0a302.jpg", "../images/2f0868eb-1a137784-02208ca9-db04ed1a-dfd94665.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": "Irregularly marginated 3-cm mass in the lingula has grown since prior studies. Although previously attributed to round atelectasis, its growth and margins raise the potential concern for a slowly growing lung adenocarcinoma. CT of the chest is recommended for further evaluation of this finding. These findings were discussed with Dr. ___ via phone at 3:05 p.m. by ___.", "role": "assistant" } ]
[ "../images/a2999df0-0ac91672-f73db8e8-82a07414-44b0a302.jpg", "../images/2f0868eb-1a137784-02208ca9-db04ed1a-dfd94665.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 prior chest radiograph from ___, there has been interval improvement of opacities along the right lower lung. There is bibasilar atelectasis. Mild cardiomegaly is unchanged. There are no pleural effusions or pneumothorax. An ET tube ends 3.9 cm above the carina. Right jugular line is unchanged in position.", "role": "assistant" } ]
[ "../images/2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Interval improvement of opacities along the right lower lung with bibasilar atelectasis.", "role": "assistant" } ]
[ "../images/2cdf54d6-df90d07a-cbaaa135-454278cd-ffe7eb4e.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": "Heart is upper limits of normal in size, stable compared to prior studies. Aorta is tortuous. Pulmonary vascularity is normal. Bilateral pleural thickening and plaques are present, in keeping with history of previous asbestos exposure. Additionally, a linearly oriented opacity is present in the lingula, previously attributed to an area of round atelectasis on prior CT chest of ___. Multifocal areas of linear scarring and/or atelectasis are also present predominantly in the mid and lower lungs. No superimposed areas of consolidation are identified to suggest an acute pneumonia.", "role": "assistant" } ]
[ "../images/5abbfd91-57ab30f3-231c4823-f55fbfa9-5d5300a8.jpg", "../images/d4c589de-03abd892-c6db54dd-d076769e-15246646.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": "Asbestos-related pleural disease with adjacent foci of parenchymal scarring and/or atelectasis. No evidence of acute pneumonia, but a subtle pneumonia may be difficult to detect in the setting of chronic pleural and parenchymal disease.", "role": "assistant" } ]
[ "../images/5abbfd91-57ab30f3-231c4823-f55fbfa9-5d5300a8.jpg", "../images/d4c589de-03abd892-c6db54dd-d076769e-15246646.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 IJ catheter has been removed and replaced with a right subclavian catheter that extends to the lower portion of the SVC. Continued enlargement of the cardiac silhouette with pacer-defibrillator in place. Mild indistinctness of pulmonary vessels could reflect some elevated pulmonary venous pressure. The retrocardiac area is not optimally seen, though there is only mild atelectasis. Bilateral chest tubes are in place and there is no evidence of pneumothorax.", "role": "assistant" } ]
[ "../images/b0b2d70b-d96be717-6c1cbd4c-fcf2bcd9-e8d42293.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 ___: There is no appreciable pneumothorax or pleural collection in the left chest following removal of the left pleural tube. Right pleural tube still in place. Left basal atelectasis is mild to moderate but unchanged. Post-operative enlargement of the cardiomediastinal silhouette which improved between ___ and ___ is stable. No appreciable right pleural effusion. Right subclavian line ends in the upper SVC. Transvenous right atrial and right ventricular pacer leads unchanged in their respective positions. No pulmonary edema.", "role": "assistant" } ]
[ "../images/600bdfe3-0d53440d-a74bdb21-e9faee00-958ca49f.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 ___: Postoperative widening of the cardiomediastinal silhouette continues to improve. Lungs low in volume but clear. Pleural effusion is small if any on the left. No pneumothorax. Transvenous right atrial and right ventricular pacer leads in standard placements. A right subclavian line passes into the right atrium, but the tip is indistinct. No pneumothorax.", "role": "assistant" } ]
[ "../images/b10086a9-a4ddd90e-8d225a77-9c7b3e0b-261c474f.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": "T0he cardiac, mediastinal and hilar contours appear stable. There is no pleural effusion or pneumothorax. Since the very recent prior studies, there is a substantial new opacity in the right lower lobe concerning for pneumonia. The bones appear demineralized. There is mild-to-moderate rightward convex curvature again centered along the lower thoracic spine with incompletely characterized lumbar compression deformities. Moderate degenerative changes are again noted along lower thoracic levels.", "role": "assistant" } ]
[ "../images/77986392-2dac3752-b145c42b-2ba010de-d49de562.jpg", "../images/89318934-c9420a56-2169eec0-c8c097f7-8b4b07d6.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": "Findings consistent with pneumonia in the right lower lobe. Depending on clinical circumstances, the possibility of aspiration could also be considered.", "role": "assistant" } ]
[ "../images/77986392-2dac3752-b145c42b-2ba010de-d49de562.jpg", "../images/89318934-c9420a56-2169eec0-c8c097f7-8b4b07d6.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 radiographs of the chest were acquired. As before, the lungs are hyperinflated, with flattening of the hemidiaphragms and enlargement of the retrosternal airspace, consistent with asthma and/or COPD. Very subtle hazy opacities in the right lower lobe are new compared to the prior study from ___, possibly atelectasis or a very early pneumonia. A calcified left lung granuloma is unchanged. The lungs are otherwise clear. Enlargement of the cardiac silhouette is not significantly changed. The mediastinal contours are normal aside from unchanged mild tortuosity of the descending thoracic aorta. There are no pleural effusions. No pneumothorax is seen.", "role": "assistant" } ]
[ "../images/970d5ff8-d0f488b2-37ca618a-69482663-8f926491.jpg", "../images/98267606-76ec973b-5884e28c-692b590a-093841f0.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. Likely right lower lobe atelectasis, although a very early pneumonia cannot be excluded. 2. Findings consistent with COPD. Pertinent findings were discussed with Dr. ___ by ___ at 12:38 p.m. via telephone on the day of the study.", "role": "assistant" } ]
[ "../images/970d5ff8-d0f488b2-37ca618a-69482663-8f926491.jpg", "../images/98267606-76ec973b-5884e28c-692b590a-093841f0.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": "Atelectasis at right lung base with no acute cardiopulmonary process.", "role": "assistant" } ]
[ "../images/fa62fc78-9b66c0fd-aa7ee648-8b82e0fc-b0e5c0d4.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "PA and lateral views of the chest were obtained. The mediastinal contour is somewhat prominent, which likely in part reflect patient's slight leftward rotation as no mediastinal mass was seen on prior CT. The lungs are hyperinflated compatible with COPD. A calcified granuloma is again noted in the left mid lung. Calcified lymph nodes in the left hilum are better assessed on the prior CT. Heart size is top normal. No definite evidence of pneumonia or CHF. No pleural effusion or pneumothorax. The imaged osseous structures appear intact.", "role": "assistant" } ]
[ "../images/64445cbc-ad80926d-3cf56f35-73f41b87-cdaaf288.jpg", "../images/48a254ba-4d6ccab1-b254dcf7-a7f305bc-9aae746b.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": "Hyperinflated lungs without evidence of pneumonia or CHF. Slight mediastinal prominence likely reflects patient's slight leftward rotation.", "role": "assistant" } ]
[ "../images/64445cbc-ad80926d-3cf56f35-73f41b87-cdaaf288.jpg", "../images/48a254ba-4d6ccab1-b254dcf7-a7f305bc-9aae746b.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 are compared to previous exam from ___. The lungs are clear of confluent consolidation, effusion, or pneumothorax. Calcified granuloma again seen in the left mid lung. Cardiomediastinal silhouette is stable in configuration. Osseous and soft tissue structures are unremarkable.", "role": "assistant" } ]
[ "../images/9fc531b0-1d7cf4cc-5d546ca8-622147cf-ea7ac035.jpg", "../images/3457e40c-876244f2-a9b678c4-5af63665-49377d02.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/9fc531b0-1d7cf4cc-5d546ca8-622147cf-ea7ac035.jpg", "../images/3457e40c-876244f2-a9b678c4-5af63665-49377d02.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 were provided. There is a calcified nodule again seen projecting over the left mid lung as seen on prior CT. There is no focal consolidation, effusion or pneumothorax seen. The heart size is top normal. Mediastinal contour is stable. Tracheobronchial tree calcification is noted. Bony structures appear intact.", "role": "assistant" } ]
[ "../images/8623cf71-596099ea-2245cb58-0c69238a-3a539886.jpg", "../images/c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1.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 traumatic injuries.", "role": "assistant" } ]
[ "../images/8623cf71-596099ea-2245cb58-0c69238a-3a539886.jpg", "../images/c84b7521-c75b5b52-ce5dc9c4-ec6fb779-a69ee6b1.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "The heart is normal in size. The mediastinal and hilar contours appear within normal limits. There is no pleural effusion or pneumothorax. There is a new opacity in the right lower lobe concerning for pneumonia, superimposed on preexisting patchy medial right middle lobe opacification that appears more chronic, also comparing to ___, although the lungs had been clear on earlier radiographs from ___.", "role": "assistant" } ]
[ "../images/c543503a-d329c7f5-3ba46412-93119de5-6da48cb1.jpg", "../images/7954b023-74e12365-5c4fbe43-07ef3edc-a3caf1df.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": "Increasing right basilar opacity worrisome for pneumonia. Follow-up radiographs are recommended within eight weeks in order to ensure resolution. If opacification were to persist, then chest CT should then be considered.", "role": "assistant" } ]
[ "../images/c543503a-d329c7f5-3ba46412-93119de5-6da48cb1.jpg", "../images/7954b023-74e12365-5c4fbe43-07ef3edc-a3caf1df.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 inflated and clear. The cardiac silhouette is normal. The left hilum appears enlarged. There is no pleural effusion or pneumothorax.", "role": "assistant" } ]
[ "../images/93ad1f3b-e27d8070-8b21fc81-09c13461-bde10e1c.jpg", "../images/7c32ce35-7b1034c4-629b82bd-91ec7754-06210160.jpg" ]
mimic_findings