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[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. No focal consolidation. 2. Enlarged left hilum which could reflect hilar lymphadenopathy. CT is recommended for further evaluation. NOTIFICATION: Findings discussed with Dr.___ by Dr.___ ___ phone at 8:20am on ___.", "role": "assistant" } ]
[ "../images/93ad1f3b-e27d8070-8b21fc81-09c13461-bde10e1c.jpg", "../images/7c32ce35-7b1034c4-629b82bd-91ec7754-06210160.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 basilar opacity without any corresponding opacity seen on the lateral view likely represents atelectasis. There is no pleural effusion or pneumothorax. The cardiac and mediastinal silhouette is within normal limits.", "role": "assistant" } ]
[ "../images/2c87ed37-9ea15e9b-216843bf-c06c0554-220563a4.jpg", "../images/08b3a2f5-6a4527a8-cea348a9-b559b9e1-42a62261.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/2c87ed37-9ea15e9b-216843bf-c06c0554-220563a4.jpg", "../images/08b3a2f5-6a4527a8-cea348a9-b559b9e1-42a62261.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "The inspiratory lung volumes are decreased from the most recent prior study. Increased opacification of the bilateral bases is likely reflective of atelectasis in the post-operative setting of low lung volumes. Prominent lung markings raise the possibility of chronic lung disease. Small bilateral pleural effusions are present. No pneumothorax is detected. The cardiac silhouette is likely within normal limits allowing for low lung volumes. No overt pulmonary edema is present. Calcified hilar and mediastinal lymph nodes are re-demonstrated, compatible with sequela of known sarcoidosis. Multiple healed right posterior rib fractures are again noted.", "role": "assistant" } ]
[ "../images/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg", "../images/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.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. Bibasilar opacities most likely represent atelectasis in the post-operative setting of low lung volumes. Small pleural effusions. 2. Stable calcified hilar and mediastinal lymph nodes compatible with known sarcoidosis. 3. Suggestion of chronic lung disease.", "role": "assistant" } ]
[ "../images/bde00ad6-316f9e7b-90b2bc93-a51cfbe3-8ca2cefc.jpg", "../images/8c9f9878-cdf131fc-776baece-6baeb337-8c4c2b2a.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": "In comparison with the study of ___, the patient has taken a much better inspiration. Again there and is evidence of multiple old healed rib fractures on the right. Calcified hilar and mediastinal lymph nodes again are consistent with known sarcoidosis. No evidence of acute focal pneumonia or vascular congestion or pleural effusion.", "role": "assistant" } ]
[ "../images/a582694c-9ecb47ce-40948acb-e0ef8797-d08a41a6.jpg", "../images/a28bd89f-1372d070-4c8f4c86-4edded96-a063343a.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. Cardiac silhouette is within normal limits and there is no evidence of vascular congestion or pleural effusion. No acute pneumonia. Multiple old healed rib fractures are seen. There again are calcified hilar and mediastinal lymph nodes, compatible with the sequela of known sarcoidosis.", "role": "assistant" } ]
[ "../images/0cdfb937-27e0834d-4d8d1c40-cee9e187-98390c95.jpg", "../images/dea1e00f-36525922-d0518f15-1f6a94ed-0a385fad.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "AP single view of the chest has been obtained with patient in sitting semi-upright position. Comparison is made with the next preceding portable chest examination of ___. Mild degree of cardiomegaly as before, but no evidence of new pulmonary congestion or pleural effusions. The presence of an NG tube is now seen and it can be followed through the stomach pointing towards the duodenum. There exists a linear density on the right base, which was not present on the previous examination. This finding is compatible with some aspiration, which may be related to the position of the NG tube as indicated in the requisition. There is, however, no evidence of any large discrete pulmonary parenchymal infiltrates and the lateral pleural sinuses remain free from any fluid accumulation. No pneumothorax is identified in the apical area. An orthopedic stabilization plate in the lower neck area is seen and remains unchanged in position in comparison with the previous study.", "role": "assistant" } ]
[ "../images/a1746ff2-d1af8629-93c25ff4-e7d87c86-532f4829.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": "Plate atelectasis on right right lung base, possibly related to position of NG tube.", "role": "assistant" } ]
[ "../images/a1746ff2-d1af8629-93c25ff4-e7d87c86-532f4829.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. Relatively low lung volumes with scattered linear opacities at the bases and in the left mid lung, likely reflecting subsegmental atelectasis. Crowding of the pulmonary vasculature with no evidence of overt pulmonary edema. No pneumothorax. No pleural effusions. 2. Interval removal of the right internal jugular central line. Spinal hardware overlies the lower cervical spine.", "role": "assistant" } ]
[ "../images/67ba33ad-ec43cf26-e563d64a-3069ed2e-c5844c0c.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 ___, 7:32 p.m.: Right internal jugular line has been pulled back to the distal SVC. Mild edema still present in both lungs along with mild cardiomegaly and mediastinal vascular engorgement. More discrete consolidation in the right lower lung, where there is also a clear atelectasis, and in the infrahilar left lower lobe could be due to concurrent pneumonia.", "role": "assistant" } ]
[ "../images/5ad9e573-14e0965d-8b13a6a1-42aa4edf-949f7839.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 newly placed Dobhoff tube reaches till the lower esophagus and loops back all the way up to the cervical esophagus. Consider repositioning the Dobhoff tube. Since ___, there are no relevant changes in the lungs. Minimal left lower lung atelectasis has improved. No new lung opacities concerning for pneumonia. Top normal heart size, mediastinal and hilar contours are stable in appearance. No pleural effusion. Findings were discussed with Dr. ___ on ___ at 5:23 p.m.", "role": "assistant" } ]
[ "../images/a69bfb99-6db10b12-ba4c0c04-51f5d6ea-ecddb834.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "There is mild hyperexpansion likely due to underlying obstructive lung disease. Minimal left base atelectasis is evident. No focal consolidation or superimposed edema is noted. Mediastinum is unremarkable. The cardiac silhouette is within normal limits for size. No effusion or pneumothorax is noted. Degenerative changes are seen throughout the thoracic spine and in bilateral shoulders. Clips are evident posteriorly in the medial left upper quadrant.", "role": "assistant" } ]
[ "../images/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg", "../images/c9411698-f64564b3-5ea07940-87d583ad-154d647b.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": "Likely underlying obstructive lung disease. No superimposed acute process identified.", "role": "assistant" } ]
[ "../images/b6d9d032-070a55f6-660fd17c-1cb8442f-68a5b3b9.jpg", "../images/c9411698-f64564b3-5ea07940-87d583ad-154d647b.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 small right pleural effusion and probable new left effusion with associated atelectasis. 2. Mild pulmonary vascular congestion and cardiomegaly unchanged. 3. Possible rib fractures for which evaluation with a chest CT is recommended. Findings were communicated to Dr. ___ ___ by Dr. ___ by telephone on ___ at 12:03.", "role": "assistant" } ]
[ "../images/8d15d949-caaa05f3-1811c857-a95fc3d0-6bf995b2.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": "With the exception of slight improved aeration at the left lung base, there has not been a substantial change in the appearance of the chest since the recent study of one day earlier.", "role": "assistant" } ]
[ "../images/2689618d-d2d66d76-59bc106d-e3cc0c85-91cc995f.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": "As compared to the preoperative radiograph, there is a minimal decrease in overall lung volumes. As a consequence, a small retrocardiac atelectasis is seen. However, there is no evidence of pneumonia. Borderline size of the cardiac silhouette. The presence of a minimal left pleural effusion cannot be excluded. Normal hilar and mediastinal contours.", "role": "assistant" } ]
[ "../images/51980c98-091b1da9-b7d824b9-3b407488-372f984c.jpg", "../images/1ab129c3-79b49414-0d5287c9-5e9ab48a-b1cfae33.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": "As compared to the previous radiograph, the Dobbhoff tube shows now normal course. The tip projects over the middle parts of the stomach. No complications, notably no pneumothorax. Otherwise, the image is unchanged.", "role": "assistant" } ]
[ "../images/37f7e3ca-93ef1bc3-81e615c8-a061addd-3a3b6dbf.jpg", "../images/22a3477a-665567e4-137b590b-c2a27bb8-d03b7d01.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "In comparison with earlier study of this date, the nasogastric tube extends well into the stomach with the tip beyond the lower limit of the image. The Dobbhoff tube has been removed.", "role": "assistant" } ]
[ "../images/035b3c94-500ee35c-10e923c5-3a5a2324-348b48c2.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "In comparison with the study of ___, there is little change. Monitoring and support devices remain in place. Continued prominence of the cardiac silhouette with evidence of some elevated pulmonary venous pressure. Retrocardiac opacification persists, as does some mild atelectatic changes on the right.", "role": "assistant" } ]
[ "../images/a3b5f140-09ecc379-5729bd0f-98abe246-f9eea2ed.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Endotracheal tube terminates approximately 5.6 cm above the carina and is adequately placed. Right internal jugular line ends at mid Svc. A feeding tube is seen to course below the diaphragm into the stomach; however, the distal end is beyond the radiographic view. Left lower lung opacities reflecting combination of atelectasis and mild pleural effusion is unchanged since ___. Mildly enlarged heart and mediastinal contours are stable.", "role": "assistant" } ]
[ "../images/6fef2911-a06fa6dd-c764a4a5-f0d84931-368a51c4.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 slight interval increase in size of bilateral pleural effusions which are now moderate to large. There is mild interstitial pulmonary edema again noted. The heart size remains enlarged, the mediastinal contours are normal with note of calcification of the aortic knob. A left chest pacemaker is stable in position.", "role": "assistant" } ]
[ "../images/de69c335-3914fe86-56f078f4-3b25135d-fc2f5f3c.jpg", "../images/e1a199d2-0a67b663-57e4049b-c809b2ac-789cce80.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": "CHF, with slight interval increase in size of bilateral pleural effusions, now moderate to large.", "role": "assistant" } ]
[ "../images/de69c335-3914fe86-56f078f4-3b25135d-fc2f5f3c.jpg", "../images/e1a199d2-0a67b663-57e4049b-c809b2ac-789cce80.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 unchanged evidence of bilateral pleural effusions. Mild interstitial lung edema. Moderate cardiomegaly with bilateral areas of atelectasis. No newly occurred focal parenchymal opacity suggesting pneumonia.", "role": "assistant" } ]
[ "../images/be8079bf-2ab5656d-d2cf6c18-8b9c6ea9-072acfe8.jpg", "../images/3c1b3188-06b1d3fc-5436c730-91b7dc0b-88efff54.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "PA and lateral views of the chest demonstrate moderate-to-severe cardiomegaly, similar in comparison with the prior AP radiograph, but increased since ___. There is interval improvement in right lower lobe opacity since the prior study, however hazy opacification persists, difficult to discern whether new since the prior study or whether never fully resolved. Infection vs assymetric pulmonary edema. The cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy or pericardial effusion. Coronary artery calcification/stenting is seen. There is no pleural effusion or pneumothorax.", "role": "assistant" } ]
[ "../images/1dfc0e48-5089885c-04550c95-ad10c948-f2488a05.jpg", "../images/1b48006f-f8f13edc-fd0058bf-d9276306-8fa23ee4.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Interval improvement in right lower lobe opacity since the prior study, however hazy opacification persists, difficult to discern whether new since the prior study or whether never fully resolved. Infection vs assymetric pulmonary edema. Recommend follow-up to resolution and consider chest CT to exclude an underlying lesion as was also suggested on prior chest radiograph from ___. Cardiac silhouette remains quite enlarged, which may be due to cardiomyopathy or pericardial effusion.", "role": "assistant" } ]
[ "../images/1dfc0e48-5089885c-04550c95-ad10c948-f2488a05.jpg", "../images/1b48006f-f8f13edc-fd0058bf-d9276306-8fa23ee4.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. Severe cardiomegaly, unchanged from four hours prior and worrisome for underlying pericardial effusion. 2. Interval development of mild pulmonary edema from ___.", "role": "assistant" } ]
[ "../images/2fba7496-4ddb5c26-026164b8-c3e4e111-e43f94f9.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No evidence of cardiopulmonary process.", "role": "assistant" } ]
[ "../images/41452399-c1ad7798-f6b82bec-04239f92-3d1db04e.jpg", "../images/2a923a58-e0c657c2-744b16dc-7e0c1d5c-5e08e49b.jpg" ]
mimic_impression
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No evidence of pneumonia.", "role": "assistant" } ]
[ "../images/d89e6f21-a446eef4-a01c2b56-b8c103af-64774131.jpg", "../images/e1b117c8-4302069e-422e2b1a-ee8b5d2d-bb59f3d6.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 central venous catheter from a right IJ approach tip is at the cavoatrial junction. The heart size is at the upper limits of normal. The mediastinal contours are within normal limits. Mild pulmonary vascular congestion is seen. The lungs demonstrate improving consolidation of the retrocardiac space, either representing improving atelectasis or pneumonia. Additionally, a new left upper lobe opacity is seen, concerning for a developing pneumonia. There is no large pleural effusion or pneumothorax. Degenerative changes are seen in the spine.", "role": "assistant" } ]
[ "../images/3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02.jpg", "../images/6751916a-85cc83ce-8024460f-6330011b-248ae148.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": "New left upper lobe opacity which may represent a developing pneumonia in the appropriate clinical setting. Improving retrocardiac consolidation may represent improving atelectasis or pneumonia.", "role": "assistant" } ]
[ "../images/3309c1ea-ab3bd4ee-d7677769-da248132-c26d7c02.jpg", "../images/6751916a-85cc83ce-8024460f-6330011b-248ae148.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Compared to ___ there is increased opacification within the right lower lobe with silhouetting of the right hemidiaphragm. This may represent right lower lobe atelectasis, however infectious process or asymmetric edema cannot be excluded. Additional areas of opacification in the right upper lung may represent asymmetric pulmonary edema. Cardiac silhouette is enlarged likely representing volume overload. A PA and lateral chest radiograph may be obtained to help localize area of consolidation. A Chest CT with contrast should be obtained once the patient is more stable to rule out presence of underlying mass. Findings were discussed with Dr. ___ is at 16:48 on ___ via telephone.", "role": "assistant" } ]
[ "../images/38b3b47d-6984aed6-acb1ea60-2c93049b-1ccdfc91.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Single AP upright portable view of the chest was obtained. There has been interval placement of a large-bore dual-lumen right central venous catheter, distal aspect not well seen, but likely terminating at the cavoatrial junction/proximal right atrium. The cardiac silhouette is mildly enlarged. There is a left base opacity, likely represents combination of pleural effusion and atelectasis. There is a moderate pulmonary vascular congestion. No pneumothorax seen.", "role": "assistant" } ]
[ "../images/3de6e01e-157ea365-d2474e3c-ab60b297-9e6bcadc.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 base opacity likely represents combination of pleural effusion and atelectasis although underlying consolidation cannot be entirely excluded in the appropriate clinical setting. The above findings with mild enlargement of the cardiac silhouette and pulmonary vascular congestion suggest fluid overload/CHF.", "role": "assistant" } ]
[ "../images/3de6e01e-157ea365-d2474e3c-ab60b297-9e6bcadc.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": "Portable AP semi-upright view of the chest was provided. Patient is quite rotated to the left which limits the evaluation. The heart is enlarged which could in part reflect leftward rotation. There is a left pleural effusion which is small in size. There is a small area of consolidation in the left upper lobe which could represent a small focus of pneumonia. Mild pulmonary edema is present. Atherosclerotic calcifications at the aortic knob noted. Bony structures are intact.", "role": "assistant" } ]
[ "../images/7cd49c7e-4de451f1-91d968ae-81143d7e-0b2dd70f.jpg", "../images/912e2ddc-d5d8cb35-d2736bcd-4a25d08f-ee68cba1.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Pulmonary edema, left upper lobe focal consolidation could represent pneumonia. Small left pleural effusion. Cardiomegaly.", "role": "assistant" } ]
[ "../images/7cd49c7e-4de451f1-91d968ae-81143d7e-0b2dd70f.jpg", "../images/912e2ddc-d5d8cb35-d2736bcd-4a25d08f-ee68cba1.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": "Cardiomediastinal contours are stable in appearance with persistent very large hiatal hernia. Linear areas of atelectasis are present in both mid lung regions, and atelectasis is also identified in the lower lungs adjacent to the large hiatal hernia. No areas of consolidation are evident. Small pleural effusions are present bilaterally. Bones are diffusely demineralized, and multilevel compression deformities are present, most marked at the thoracolumbar junction and upper lumbar region, with similar appearance in the thoracic spine to recent CT of ___. The patient is status post vertebroplasty procedures in the upper lumbar spine.", "role": "assistant" } ]
[ "../images/176e0588-2fc59c9a-096765cc-a04685eb-e860762a.jpg", "../images/a2958de9-3f5b2b3e-0f868adb-1bfb09df-e2f90c3e.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 hiatal hernia. Multifocal atelectasis and small pleural effusions.", "role": "assistant" } ]
[ "../images/176e0588-2fc59c9a-096765cc-a04685eb-e860762a.jpg", "../images/a2958de9-3f5b2b3e-0f868adb-1bfb09df-e2f90c3e.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 ___: Generalized interstitial pulmonary abnormality could be mild edema. Careful followup is advised because of the nodular quality of this abnormality which makes it imperative to exclude disseminated metastases or granulomatous infection. Low lung volumes exaggerate hilar size, another region that should be evaluated with conventional radiographs when feasible. Moderate cardiomegaly and large hiatus hernia are bigger today than they were in ___. Pleural effusions are small if any. Dr. ___ was paged.", "role": "assistant" } ]
[ "../images/a5b415f2-b092fbdd-488fd0f8-0d4c383a-eed231bc.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 erect portable view of the chest was obtained. There has been interval placement of a left-sided chest tube which appears to terminate approximately at the level of the medial left diaphragm and may extend to the mediastinum. There has been re-expansion of the left lung with opacity in the left mid-to-lower lung which could be due to pulmonary hemorrhage/contusion, partial collapse, or less likely infection. Subcutaneous emphysema is seen along the left chest wall.", "role": "assistant" } ]
[ "../images/8556763c-b1bc6f79-edf4b821-e6261f21-f1f60684.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 left chest tube with reexpansion of the left lung, with opacity/consolidation in the left mid-to-lower lung fields with shift of the mediastinum to the left may be due to partial lung collapse, although underlying pulmonary contusion/hemorrhage is may be present. The left chest tube appears to extend to the level of the medial left diaphragm and may encroach upon the mediastinum. Left chest wall subcutaneous emphysema.", "role": "assistant" } ]
[ "../images/8556763c-b1bc6f79-edf4b821-e6261f21-f1f60684.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": "Heart size and mediastinum are stable. Lungs are clear. There is no pleural effusion or pneumothorax. Bronchiectasis at demonstrated on the prior CT chest are minimal end seen in the left lower lobe with interval resolution of previously demonstrated infectious process.", "role": "assistant" } ]
[ "../images/6791ae5f-2b5a0473-e5a08897-c829d6ef-74848f0d.jpg", "../images/042b8e55-50d27345-7b393528-2e2d0294-10141795.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "One portable AP upright view of the chest. No pneumothorax is seen. Subcutaneous air is unchanged. The left lower lobe opacity is unchanged. Right lung is clear. The cardiac, mediastinal, and hilar contours are normal. The most superior portions of the apices are slightly obscured by patient's chin.", "role": "assistant" } ]
[ "../images/927fb781-4f9bc44e-a7fdd883-151703e1-8e450752.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 interval pneumothorax seen; however, the most superior portion of the apices are slightly blurred by the patient's chin. 2. Left lower lobe opacity and subcutaneous are are unchanged.", "role": "assistant" } ]
[ "../images/927fb781-4f9bc44e-a7fdd883-151703e1-8e450752.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 chest views were obtained with patient in upright position. Analysis is performed in direct comparison with the next preceding similar study of ___. The chest findings are completely stable, and there is no evidence of new pulmonary parenchymal infiltrates that could represent a pneumonia. Heart size is also unchanged, and no evidence of pulmonary vascular congestion or pleural effusion exists. No pneumothorax in the apical area.", "role": "assistant" } ]
[ "../images/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg", "../images/e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Stable chest findings, no evidence of new acute pulmonary infectious process that could account for unexplained leukocytosis.", "role": "assistant" } ]
[ "../images/a5d858a3-f180454b-311e1427-1b70d6f0-3d95426d.jpg", "../images/e8bee7e8-3d046a2b-a495f848-e8247e92-8a180494.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 faint bibasilar opacities with possible bronchial wall thickening which are nonspecific but similar to that seen on ___. These findings are in the same distribution as seen previously on ___. Otherwise, cardiac silhouette is within normal limits. The aorta is unremarkable. Osseous structures demonstrate degenerative changes of bilateral glenohumeral joints.", "role": "assistant" } ]
[ "../images/0fc79616-7e3a9293-c3991955-223e2630-2bf96047.jpg", "../images/fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c.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": "Bibasilar faint opacities and bronchial wall thickening. These findings are nonspecific and may be seen with bronchiectasis, an infectious process, or bronchiolitis obliterans as previously noted. Further evaluation may be obtained with CT if necessary. These findings were discussed by Dr. ___ with Dr. ___ ___ telephone at 2:02 p.m. on ___.", "role": "assistant" } ]
[ "../images/0fc79616-7e3a9293-c3991955-223e2630-2bf96047.jpg", "../images/fb97dc99-52ef2345-cca09851-57c3d33d-c0fcf34c.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. Slight interval improvement in aeration. Persistent patchy opacity of the left base and unchanged subcutaneous emphysema. However, there is no evidence of pneumothorax. Stable cardiac and mediastinal contours. No evidence of pulmonary edema.", "role": "assistant" } ]
[ "../images/bcc505e7-72cc89ad-2e8eca24-f93e86f8-c5623967.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. Lungs remain low in volumes. Persistent airspace opacity at the left lung base and unchanged subcutaneous emphysema is seen. No pneumothorax. No evidence of pulmonary edema. Overall cardiac and mediastinal contours are stable.", "role": "assistant" } ]
[ "../images/8cf47922-21ea9567-ee9bd67f-e77c69fc-88638572.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": "Increased focal opacification demonstrated within the left lower lobe in setting of known transbronchial biopsy is likely related to focal hemorrhage superimposed on known area of focal opacification/though is out of proportion to expected. There is no pneumothorax or pleural effusion. Bronchiectasis of the left lower lobe is unchanged. The cardiomediastinal and hilar contours are stable demonstrating mild tortuosity of the thoracic aorta. Heart size is within normal limits. Incidentally noted is a benign bone island demonstrated within the left humeral head.", "role": "assistant" } ]
[ "../images/f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb.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 increase in opacification in the left lower lobe that in the setting of known transbronchial biopsy is likely related to hemorrhage superimposed on the known previously noted focal opacification, though aspiration and interval progression of the disease process are also possibilities. No evidence of pneumothorax.", "role": "assistant" } ]
[ "../images/f65458e7-7ef7e73f-fea3b7ca-40749fee-38fb4aeb.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": "There is persistent subcutaneous emphysema within the lateral soft tissues. No pneumothorax is appreciated. Left lower lobe pleural-based opacity appears essentially stable. Overall cardiac and mediastinal contours are unchanged in the setting of relatively low lung volumes. No evidence of pulmonary edema.", "role": "assistant" } ]
[ "../images/0c315fcb-cb93603a-1fde59fe-bb8bfefe-b74f4205.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 upright portable view of the chest was obtained. In the interval since the prior study, there has been development of a very large left pneumothorax with collapse of the left lung. There may be slight tension component. The right lung is clear. No pleural effusion. The left cardiac border appears somewhat flattened, which may be due to tension.", "role": "assistant" } ]
[ "../images/537866b5-4423c6f9-f01223bc-1a4b2a8a-a550fd36.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 development of large left pneumothorax. The above findings were discussed with Dr. ___ at 9:___ p.m. via telephone on ___.", "role": "assistant" } ]
[ "../images/537866b5-4423c6f9-f01223bc-1a4b2a8a-a550fd36.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 ___. Left apical pneumothorax is tiny if any. The benefit of the lateral view. We can see that although the large region of opacification in the left lower lung is improving. There are actually two responsible abnormalities, a region of consolidation or atelectasis in the lingula, and a pleural collection in the left lower hemithorax adjacent to region of consolidation. One or both of these lesions is presumably a hematoma from recent transbronchial biopsy. PA and lateral views therefore are recommended for subsequent followup. Right lung is clear. The heart is normal size.", "role": "assistant" } ]
[ "../images/b4090c18-9828842b-111e341f-0673f4ad-e42afebc.jpg", "../images/0023e76e-3d6a09b6-071ddac3-e9fcea9a-f3b6a6a6.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 obtained. There is persistent bibasilar atelectasis. No new focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable.", "role": "assistant" } ]
[ "../images/ba3fb88d-d17476f9-7e265acc-3818caee-7fe0f04e.jpg", "../images/bbbda37b-a4c5358b-a7bc0bf9-c4eb7ea2-7ebbc0fb.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 other significant interval change aside from possible decrease in small left pleural effusion noted on the prior study.", "role": "assistant" } ]
[ "../images/ba3fb88d-d17476f9-7e265acc-3818caee-7fe0f04e.jpg", "../images/bbbda37b-a4c5358b-a7bc0bf9-c4eb7ea2-7ebbc0fb.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. The heart remains enlarged and there is unfolding and prominence to the aorta. There are subtle patchy opacities at both lung bases which may represent atelectasis in the setting of somewhat diminished lung volumes, although an early pneumonia cannot be entirely excluded. No pleural effusions. No pneumothorax. No evidence of pulmonary edema. Calcification at the aortic knob consistent with atherosclerosis.", "role": "assistant" } ]
[ "../images/dbed4c5b-cc431b8c-e55ffb2b-374a1057-0ac25b9c.jpg", "../images/fed84864-f68bc255-fce404b6-c38c836c-08a9985d.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "As compared to the previous radiograph, the patient is intubated. The tip of the endotracheal tube projects approximately 6 cm above the carina. The patient also has a nasogastric tube, the tube could be slightly advanced, given that the sidehole is at the level of the gastroesophageal junction. No evidence of complications, notably no pneumothorax. As compared to the previous image, the size of the cardiac silhouette remains moderately enlarged and signs of mild-to-moderate pulmonary edema are seen. A right and left pleural effusion with subsequent areas of atelectasis has newly developed. No other parenchymal changes.", "role": "assistant" } ]
[ "../images/b50c5a50-2713d6bf-b6a084a7-d2b96375-54cc29d2.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Cardiac silhouette is enlarged and accompanied by widened vascular pedicle, pulmonary vascular congestion and moderate pulmonary edema. A more confluent area of opacity in the left retrocardiac region could reflect atelectasis or clinically suspected aspiration. Followup radiographs after diuresis may be helpful to ensure clearing of edema and to exclude underlying aspiration or infectious pneumonia. Small pleural effusions are also demonstrated.", "role": "assistant" } ]
[ "../images/4bb046fd-97a72e50-21955713-67e2c1c0-ee97bbc4.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "In comparison with study of ___, there is little overall change. Again there is substantial enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion with asymmetric edema, more prominent on the right. Retrocardiac opacification with poor definition of the hemidiaphragm is consistent with volume loss in the lower lobe. There may well be small bilateral pleural effusions.", "role": "assistant" } ]
[ "../images/5cccf2bd-bfd996be-96074827-f468cba2-16a37ebd.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Frontal and lateral views of the chest were obtained. Since the prior study, there has been interval increase in perihilar opacities, right greater than left, which may be due to infectious process with possible superimposed edema. The cardiac silhouette remains mildly enlarged with left ventricular configuration. The aortic knob is calcified. No large pleural effusion is seen, although trace effusions are difficult to exclude. No pneumothorax.", "role": "assistant" } ]
[ "../images/1585b079-3c16e696-8466896e-42ade4b7-3bc6686f.jpg", "../images/804b2558-1b928d2d-a41b4959-275e9da9-5ccdeca5.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Interval development of right perihilar opacity while could relate to asymmetric edema, infectious process is also in the differential. No large pleural effusion; however, trace bilateral pleural effusions difficult to exclude.", "role": "assistant" } ]
[ "../images/1585b079-3c16e696-8466896e-42ade4b7-3bc6686f.jpg", "../images/804b2558-1b928d2d-a41b4959-275e9da9-5ccdeca5.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 heart is normal in size. The aortic arch is calcified. The mediastinal and hilar contours appear unchanged. There is no pleural effusion or pneumothorax. There is a nodular focus projecting over the right lower lung, probably a nipple shadow, although not visualized on prior radiographs. Otherwise the lung fields appear clear.", "role": "assistant" } ]
[ "../images/c3827619-5b104baa-e1895045-007f9978-837ef55e.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. No evidence of acute disease. 2. Newly apparent nodular focus projecting along the right lower lung, probably a nipple shadow, although a pulmonary nodule should be considered. When clinically appropriate, repeat PA view with nipple markers is recommended.", "role": "assistant" } ]
[ "../images/c3827619-5b104baa-e1895045-007f9978-837ef55e.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 portable view of the chest moderate left pleural effusion, essentially unchanged since prior exam. Left lung base consolidation is present. No large right pleural effusion is seen. Peripheral right lung base opacity is more conspicuous since prior exam. Moderate cardiomegaly persists and mild interstitial pulmonary edema is relatively similar. Hilar and mediastinal silhouettes are unchanged. Aortic valve calcifications are seen. Multiple surgical clips project over cardiac silhouette compatible with prior CABG. Sternotomy wires appear intact. The mitral valve prosthesis is in place. There is no pneumothorax.", "role": "assistant" } ]
[ "../images/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.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. In comparison to ___ exam, moderate left pleural effusion, mild interstitial pulmonary edema, and cardiomegaly is unchanged. 2. Left lung base consolidation, likely collapse or superimposed infection. 3. Right lung base peripheral opacity more conspicuous since prior exam and may represent infection, infarction or organizing pneumonia.", "role": "assistant" } ]
[ "../images/6973b010-49ac25bb-d2e035bc-667938df-855b7f4c.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 continued diffuse bilateral pulmonary opacifications consistent with worsening effusions, volume loss, and increased pulmonary vascular congestion. Possibility of supervening pneumonia must be seriously considered in the appropriate clinical setting, though this is difficult to evaluate in view of the substrate of extensive pulmonary changes.", "role": "assistant" } ]
[ "../images/28674cfd-a09cd562-c2ee2007-8a9a2145-bc7be12c.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Single frontal view of the chest was obtained. A left pleural effusion with overlying atelectasis remains present. Left base retrocardiac opacity likely represents combination of atelectasis and effusion, although underlying consolidation is difficult to exclude. Patient is status post median sternotomy and CABG. No definite focal consolidation is seen in the right lung. The patient is status post median sternotomy and cardiac valve replacement. Cardiac and mediastinal silhouettes are stable.", "role": "assistant" } ]
[ "../images/e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4.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 pleural effusion with overlying atelectasis, underlying consolidation is difficult to exclude.", "role": "assistant" } ]
[ "../images/e8149721-c9e4afbc-7a9dde4a-3c9f7362-fec663a4.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. Bilateral pleural effusions, improved on the right compared to the prior examination, but worsened on the left. Increased opacification at the left lung base may represent underlying infection. 2. Low lung volumes with crowding of bronchovascular markings and minimal increased pulmonary vascular engorgement.", "role": "assistant" } ]
[ "../images/515703bc-4c8240a5-4b5d0a83-1f8c8dda-289ce799.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 ___ through ___, 1:17 p.m.: Moderately severe pulmonary edema has not worsened since earlier in the day, though moderate right and small left pleural effusions have increased. Moderate cardiomegaly has remained stable over the past several days, but has progressed substantially since ___ and could be due to cardiomegaly and/or pericardial effusion. Dual-channel catheter, presumably for hemodialysis ends in the right atrium. No pneumothorax.", "role": "assistant" } ]
[ "../images/8312c3a4-f0043050-3db9e48c-8b180ed0-faf4d335.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 patient is status post mitral valve replacement and probably coronary artery bypass graft surgery. The heart is mildly enlarged. There is patchy basilar opacification suggesting a combination of atelectasis and pleural effusion. Streaky left upper lobe opacity suggests minor atelectasis or scarring which is unchanged. There is no pneumothorax. No free air is demonstrated.", "role": "assistant" } ]
[ "../images/bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Patchy left basilar opacity, highly suggestive of atelectasis in association with a small-to-moderate suspected pleural effusion, although opacification is not entirely specific as the etiology.", "role": "assistant" } ]
[ "../images/bbfadd26-26a1370d-69d5f8f9-5b210fd9-a89a0589.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 dialysis catheter again having its tip within the right atrium in similar position as compared to multiple prior studies. There is increasing bibasilar and perihilar airspace opacities, which likely reflect worsening moderate pulmonary edema. There are likely layering effusions, left greater than right. Diffuse pneumonia would be less likely given the rapidity of interval change. No pneumothorax is seen. Overall, cardiac and mediastinal contours are unchanged, with the heart being stably enlarged.", "role": "assistant" } ]
[ "../images/87694c3c-e07ea01b-0ee35fd8-55a7defd-8e318d65.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. Continued CHF, probably slightly worse compared with ___. 2. Left pleural fluid/thickening, left lower lobe collapse and/or consolidation, overall similar.", "role": "assistant" } ]
[ "../images/995e2d81-54b60cfa-a52c5f7a-4d97f982-645e4731.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": "PA and lateral chest compared to ___ through ___: Small bilateral pleural effusions, including a fissural component in the right major fissure, have increased slightly since ___. There is no pulmonary edema and no pneumothorax. Moderate-to-severe enlargement of the cardiac silhouette is chronic and unchanged. There is no appreciable pulmonary vascular engorgement. A dual-channel right supraclavicular dialysis set ends in the right atrium, and left PICC line ends low in the SVC.", "role": "assistant" } ]
[ "../images/76ee4972-231e2314-e4e35ff5-8d2cd919-a98450dd.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "AP chest compared to ___ and ___, 2:57 p.m.: Tip of the new Dobbhoff feeding tube, with a wire stylet in place, ends in the mid-to-low stomach. Right internal jugular sheath ends at the junction of the brachiocephalic veins and the right supraclavicular dialysis catheter orifices are in the right atrium. A small-to-moderate right and moderate left pleural effusion are slightly larger than earlier in the day. Left perihilar consolidation, probably atelectasis, is unchanged. There is probably no pulmonary edema. No pneumothorax. Moderate postoperative widening of the cardiomediastinal silhouette, which progressed after tracheal extubation is stable since earlier in the day, but should be followed to exclude mediastinal bleeding.", "role": "assistant" } ]
[ "../images/cd20a77e-2332eb46-6c09f2d2-e0e8d1d9-8f18baf1.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": "Bilateral moderate size pleural effusions are increased with increased interstitial markings and vascular congestion compatible with moderate to severe pulmonary edema. Mid and lower lung right greater than left pulmonary opacities, may reflect atelectasis in this setting of effusions and pulmonary edema, however a in multifocal infectious process or aspiration cannot be excluded. Moderate cardiomegaly persists unchanged. Patient is status post median sternotomy and cardiac valve replacement.", "role": "assistant" } ]
[ "../images/641cc7ad-8d3dc0c6-ee97f6e1-7bf62c19-d12ac7bd.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Moderate to severe congestive failure with bilateral moderate-sized pleural effusions, increased. As these findings could mask an underlying infectious process, if clinical concern persists repeat imaging after diuresis is recommended.", "role": "assistant" } ]
[ "../images/641cc7ad-8d3dc0c6-ee97f6e1-7bf62c19-d12ac7bd.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Frontal images of the chest demonstrate well-expanded lungs which are clear. There is a left-sided pleural effusion. There is no effusion on the right. There is no pneumothorax. Cardiomediastinal silhouette is unremarkable. Sternotomy wires and mitral valve ring again noted. Visualized osseous structures are unremarkable.", "role": "assistant" } ]
[ "../images/bc28ea67-0dc950d7-d5c81ea4-c8640ac1-e0a88e8d.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 pleural effusion. Otherwise, unremarkable chest x-ray.", "role": "assistant" } ]
[ "../images/bc28ea67-0dc950d7-d5c81ea4-c8640ac1-e0a88e8d.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": "Stable chronic cardiomegaly. Mild improvement in the chronic moderate-sized left pleural effusion and left basal atelectasis.", "role": "assistant" } ]
[ "../images/bba69ee7-df213de0-6bcebedd-77472984-0840a418.jpg", "../images/ede252ee-83066d8a-376961c0-b07de3b1-0dfeb1e0.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. Stable small pleural effusions. 2. Interval removal of bilateral thoracostomy tubes.", "role": "assistant" } ]
[ "../images/9ae19357-ed8ab74b-7c794e86-235ab6b4-b0b98b54.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 little overall change. Again there is moderate pulmonary edema with probable bilateral effusions and substantial volume loss in the left lower lobe. In the appropriate clinical setting, superimposed pneumonia would have to be considered.", "role": "assistant" } ]
[ "../images/2501dbf9-714acd96-ca4fba08-e02967b8-23f99f37.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Consistent with the given history, large-bore dual-lumen dialysis catheter from a right internal jugular approach is in stable and standard course and position from a right internal jugular approach. A left internal jugular central venous catheter device has been removed in the interval. No consolidation or edema is evident. The mediastinum is unremarkable. The cardiac silhouette is enlarged. This is an interval change compared to the most recent prior study but has been noted on other prior studies. Subtle blunting of the right costophrenic angle suggests a tiny effusion. No pneumothorax is evident. There are no displaced fractures.", "role": "assistant" } ]
[ "../images/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.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": "Small bilateral pleural effusions. Interval marked enlargement of the cardiac silhouette relative to the most recent prior exam. However, other more remote exams have demonstrated enlargement of the silhouette, thereby suggesting the possibility of waxing and waning pericardial effusion. Correlate clinically.", "role": "assistant" } ]
[ "../images/35b21042-72d1e131-7566b7a8-5f8005c0-b27fc76d.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 upright chest radiograph demonstrates an interval increase in size of a now moderate left pleural effusion with left basilar atelectasis. There is a smaller right pleural effusion with associated right basilar atelectasis. Pulmonary edema is improved. Moderate to severe cardiomegaly is unchanged, the mediastinal contours are normal. A right IJ catheter tip is unchanged projecting over the lower SVC. Median sternotomy wires, and mitral valve prosthesis are unchanged.", "role": "assistant" } ]
[ "../images/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.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": "Increasing left greater than right pleural effusions, represent residua of improved congestive heart failure.", "role": "assistant" } ]
[ "../images/fd10e506-04541266-88f11cc7-b24b4822-8cf8bc4b.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "One portable AP upright view of the chest. Right hemodialysis catheter ends in the right atrium. There is pulmonary edema and pulmonary vascular congestion. There is no focal parenchymal opacities concerning for pneumonia. There is no pneumothorax. No definite pleural effusions. The cardiac, mediastinal, and hilar contours are normal.", "role": "assistant" } ]
[ "../images/e71f51f3-72341a6f-e930d575-66d2c3ef-339886c5.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "Moderate pulmonary edema. These findings were discussed with Dr. ___ at 2 p.m. on ___ by telephone.", "role": "assistant" } ]
[ "../images/e71f51f3-72341a6f-e930d575-66d2c3ef-339886c5.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "In comparison with study of ___, there is increasing bilateral pulmonary opacifications consistent with worsening effusions, consistent with volume loss, and worsening pulmonary vascular congestion. The possibility of supervening pneumonia must be seriously considered in the appropriate clinical setting, and is difficult to evaluate due to the substrate of extensive pulmonary changes. Dual-channel catheter, presumably due for hemodialysis ends in the right atrium.", "role": "assistant" } ]
[ "../images/2241b085-d8b05d1d-b5f91fce-e5b5e662-4e27dbc6.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. Left subclavian PICC line with its tip in the mid-to-distal SVC. Endotracheal tube has its tip 4.5 cm above the carina. A right internal jugular large-bore catheter has its tip in the right atrium, unchanged. Gastric tube is seen coursing below the diaphragm with the tip not identified. 2. Bilateral pleural pigtail catheters are again seen and are unchanged in position. Overall, cardiac and mediastinal contours are stable in this postoperative patient status post median sternotomy with mitral valve annuloplasty. Increasing opacity at right lung base and the costophrenic angle which could represent accumulating fluid or an area of evolving pneumonia. Clinical correlation is advised. No evidence of pulmonary edema. Patchy opacities at left base likely reflects atelectasis. No pneumothorax.", "role": "assistant" } ]
[ "../images/1b4e1f55-4fa1febf-abf7ed18-4531ddc4-2081f4ae.jpg" ]
mimic_impression
[ { "content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.", "role": "user" }, { "content": "Single portable view of the chest is compared to previous exam from ___. Compared to prior, there has been no significant interval change. Dense retrocardiac opacity is again seen silhouetting of the hemidiaphragm. The right lung remains grossly clear. Mild pulmonary vascular congestion is unchanged. Cardiac silhouette is enlarged, but stable and notable for a prosthetic device.", "role": "assistant" } ]
[ "../images/928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d.jpg" ]
mimic_findings
[ { "content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "No significant interval change since ___ noting left basilar opacity due to combination of pleural effusion with underlying atelectasis and possible consolidation.", "role": "assistant" } ]
[ "../images/928a3662-7a9bc2d9-1808833b-79fd5d7b-76aabf9d.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 obtained. The patient is status post median sternotomy and mitral valve replacement. The cardiac silhouette remains enlarged. Aortic knob is calcified. There is blunting of the left costophrenic angle again seen, consistent with pleural effusion. There is slight increase in markings in the right lung base, this may be artifactual, although underlying consolidation is not excluded.", "role": "assistant" } ]
[ "../images/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg", "../images/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.jpg" ]
mimic_findings
[ { "content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.", "role": "user" }, { "content": "1. Left pleural effusion again seen. 2. Slight increased opacity in the right lung base may be artifactual, although an early consolidation is not excluded in the appropriate clinical setting.", "role": "assistant" } ]
[ "../images/64c99cbe-e1457ba5-58d940df-68b406e8-2a430fdc.jpg", "../images/6f3ad43a-df5c6fdb-9ca593fc-13d161a4-8869dd8f.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 stable massive cardiomegaly which does not show any improvement in past 48 hours. There is significant dilatation of the main pulmonary artery which also has not abated. Lung volumes are low and unchanged with left-sided atelectasis essentially the same. There is no pneumothorax. IJ catheter sheath is seen in position terminating within the mid SVC. A supraclavicular triple-lumen catheter is seen terminating within the right atrium. Moderate bilateral pleural effusions are unchanged.", "role": "assistant" } ]
[ "../images/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.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 decrease in massive cardiomegaly or pulmonary artery dilatation . Echocardiography is recommended to further evaluate this finding. These findings were reported to physician assistant, Ms. ___, at 12:10 p.m. via phone by ___.", "role": "assistant" } ]
[ "../images/c249e803-7af4d888-0de68b91-d6fda68a-387c0f5d.jpg" ]
mimic_impression