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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": "PA and lateral chest compared to ___ through ___: Moderate cardiomegaly is longstanding. There is no particular vascular engorgement, no edema and no pleural effusion. Transvenous right atrial pacer and right ventricular pacer defibrillator leads follow their expected courses, unchanged. New left PIC line ends at the junction of brachiocephalic veins.",
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}
] |
[
"../images/937a086b-d6d3022b-88e3053e-885699b2-46431cc5.jpg",
"../images/0cfc6f6a-9b1d6469-767358c3-8cba8b86-26a9c846.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": "No focal opacity to suggest pneumonia is seen. No pneumothorax or significant pleural effusion is present. No pulmonary edema is seen. There are multiple calcified nodules consistent with prior granulomatous disease. However, a right upper lobe nodule measuring 9 mm is concerning. This previously measured 8 mm on the CT ___ ___, though comparison is limited across these modalities. The heart size is top normal. There is tortuosity and calcification of the thoracic aorta. A left-sided dual-lead pacemaker is unchanged. The patient is status post median sternotomy. Surgical clips in the right upper quadrant are consistent with cholecystectomy.",
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}
] |
[
"../images/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg",
"../images/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. No evidence of pneumonia. 2. Right upper lobe nodule measuring 9 mm on this examination. This measured 8 mm on the prior CT, though comparison across modalities is limited. Given the concerning appearance, this nodule would be better followed by dedicated CT.",
"role": "assistant"
}
] |
[
"../images/42721071-6d96b2ed-f083c7d3-5f14b0d5-a7845fc1.jpg",
"../images/2562051f-7aa8f63a-d00bafea-ddf082c6-838ba1fd.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, there is no relevant change. Moderate cardiomegaly, known left pectoral pacemaker. No pleural effusion. No current pulmonary edema. No pneumonia. Multiple dot-like calcifications that are unchanged.",
"role": "assistant"
}
] |
[
"../images/067df4f2-ba0ae770-919c7d21-9186536c-9c0f8174.jpg",
"../images/9b350f75-7f987b20-092a7bbf-84be3535-8bc72c1f.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 AP and lateral views of the chest were obtained. The patient is rotated. The left pectoral ICD leads end in the expected locations of the right atrium and right ventricle. The patient is status post median sternotomy with intact wires. A right PICC ends in the upper SVC. There is no focal consolidation, pleural effusion or pneumothorax. Opacity at the right cardiophrenic angle corresponds to mediastinal fat on CT ___. Aortic knob calcifications are noted. There is pulmonary vascular engorgement and mild cardiomegaly. A nodule in the right upper lung is not well visualized on this study and is better evaluated on chest CT ___. Multiple calcified granulomas are noted.",
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}
] |
[
"../images/4c813a56-c3955f56-d8575305-9347eb08-6c581dc1.jpg",
"../images/acddfc4f-6bf56983-900fa34f-f650d62f-a30c95af.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 vascular engorgement without overt pulmonary edema. No pneumonia.",
"role": "assistant"
}
] |
[
"../images/4c813a56-c3955f56-d8575305-9347eb08-6c581dc1.jpg",
"../images/acddfc4f-6bf56983-900fa34f-f650d62f-a30c95af.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Patient's condition required examination in sitting upright position using AP frontal view and left lateral views. Comparison is made with the next preceding portable chest examination of ___. As before, there is status post sternotomy. Moderate cardiac enlargement is seen. Previously identified permanent pacer with dual intracavitary electrodes and ICD device in unchanged position. The same holds for the recently placed right-sided PICC line which is now seen to reach in the upper third of the right atrium. Moderate cardiac enlargement as before. No signs of acute CHF and no acute parenchymal infiltrates are present. Lateral and posterior pleural sinuses are free from any fluid accumulation.",
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}
] |
[
"../images/0c0e3903-2f744a5c-3750bad4-6d772736-6bf1c8a2.jpg",
"../images/3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813.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 pneumonia.",
"role": "assistant"
}
] |
[
"../images/0c0e3903-2f744a5c-3750bad4-6d772736-6bf1c8a2.jpg",
"../images/3e179ec6-2dd8aea9-b1ef694b-eafe6ce6-0a175813.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 image is unchanged. The endotracheal tube is in unchanged position. Low lung volumes with bilateral areas of atelectasis and borderline size of the cardiac silhouette. No newly appeared focal parenchymal opacities. No pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/732f6fb0-c98d7738-2938f633-bb161f80-f30aecdd.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 the previous radiograph, the patient has undergone surgery. The patient is now intubated, the tip of the endotracheal tube projects 4.5 cm above the carina. The lung volumes are low, there are bilateral areas of basal atelectasis. There also is minimal blunting of the left costophrenic sinus, so that the presence of a small left pleural effusion cannot be excluded. Borderline size of the cardiac silhouette without evidence of pulmonary edema. No pneumonia.",
"role": "assistant"
}
] |
[
"../images/324bef29-0a9132a2-8b124645-f95634f0-d573eccc.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, there is complete clearing of the pre-existing opacity in the right lower lobe. No evidence of current pneumonia. No other parenchymal changes. Normal size of the cardiac silhouette. No pleural effusion. No hilar or mediastinal abnormalities.",
"role": "assistant"
}
] |
[
"../images/da96d0b2-703c1297-0c6a6193-9d2ce59a-b313489b.jpg",
"../images/ab649acd-239dc728-c8404656-da6cbf96-fb31a0b6.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 ___: Opacification at both lung bases is probably a combination of persistent atelectasis, moderate on the right and moderate to severe on the left. There is also at least a small and a moderate volume of left pleural fluid. Significantly since ___ gaseous distention of the stomach has resolved.",
"role": "assistant"
}
] |
[
"../images/b5031f7d-b438708b-34d144c5-851d4759-a3184a84.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 little overall change in the appearance of the heart and lungs. Continued hyperexpansion without evidence of acute focal pneumonia, though there are atelectatic changes at the left base. There is subcutaneous gas along the chest walls bilaterally that was not appreciated on the prior study. This information was telephoned to the nurse in the ICU taking care of the patient on ___ at 950 upon noticing the abnormality.",
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}
] |
[
"../images/13a5d3b6-8cf4d79a-807319e4-1292cd55-39f57349.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 ___: ET tube and nasogastric tube are in standard placements. Midline drain ends at the level of the sternal notch. Right jugular line tip in the mid SVC. New paramedian drains could be superficial. Moderate right pleural effusion has increased, and left lower lobe atelectasis is worsened. Cardiomediastinal silhouette is essentially normal. No pneumothorax.",
"role": "assistant"
}
] |
[
"../images/03f5be94-94356058-6e153b3e-9d89dc4b-bc540c4c.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 is a slight increase in extent of a right pleural effusion that is now moderate. The left retrocardiac atelectasis is unchanged. No other relevant changes. No pneumonia.",
"role": "assistant"
}
] |
[
"../images/f0f0f362-66be2ab0-3210b813-23d16481-c7a59206.jpg",
"../images/2e078e3d-01673fac-4158a2bb-fc53694d-0a68bb67.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, there is no substantial change in the position of the pigtail catheter. No evidence of pneumothorax is present on the current image. Moderate overinflation, normal size of the cardiac silhouette, unchanged course and position of the left-sided PICC line.",
"role": "assistant"
}
] |
[
"../images/6cf93674-8fe57ec0-cf9d01c8-a4e2f45a-ab599448.jpg",
"../images/f99f8714-5e5a416e-ab4d7b84-1c4f38b2-32864a70.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": "An AP single view of the chest has been obtained with patient in sitting semi-upright position. Analysis is performed in direct comparison with the next preceding PA and lateral chest examination of ___. On the previous examination, the patient had a pigtail drainage catheter placed anteriorly to the chest wall in an apparent presternal soft tissue cavity in this patient with a history of sternal dehiscence. The pigtail catheter has been removed. On the present frontal single view examination, one can identify a thin-wall line apparently entering the right lower anterior chest wall reaching the superior portion of the thorax where it terminates overlying the infraclavicular junction. On this single chest view, no pneumothorax can be identified and no new pulmonary abnormalities are seen. Unfortunately, the examination did not include a lateral view at this time, which is the essential component to evaluate the presternal anatomy in the patient's anterior chest wall. The chest CT examination ___ ___ is reviewed from this study is apparent that the anterior chest wall cavity is filled with large amount of fluid, which communicates through the dehisced sternum into the mediastinal structures. Additional lateral view is mandatory for evaluation of this unusual finding. Potential drainage could be monitored under fluoroscopic control.",
"role": "assistant"
}
] |
[
"../images/86deb04a-2c61843d-5acda394-6b0cd2e7-40be9dd0.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "PA and lateral chest compared to ___: New heterogeneous opacification in the right lower lung at least some of which is in the middle lobe, obscuring the right heart border, the remainder at the base, is all new since ___, considered pneumonia until proved otherwise. New anterior chest wall drains are noted. Heart is normal size. The hyperinflation and vascular deficiency of emphysema are longstanding. A ring shadow in the left upper lung at the level of the aortic arch is more prominent today than it has been since an abnormality in this region was demonstrated on chest CT scanning in ___. There may be a second similar region in the right lower lung at the level of the sixth anterior rib. These findings are suggestive of active bronchiectasis, which can be seen with mycobacterial infection, either tuberculosis or atypical species. There is no appreciable pleural effusion. Dr. ___, was paged at 11:05 a.m., one minute following recognition of the findings. Findings were discussed ten minutes later with the NP caring for the patient.",
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}
] |
[
"../images/d20d16fd-c34a1f8d-c4046f9a-8674dbba-a48774eb.jpg",
"../images/51150936-2cf82a04-6fa1a638-e1577644-0ba4c3a3.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 chest radiograph demonstrates Dobbhoff tube coiled within the stomach with tip terminating within the mid esophagus. Exam is otherwise unchanged. ___ discussed these findings (including those of the 2 prior radiographs) with ___, PA, at 16:15 on ___ at the time of discovery who reports the third and final radiograph demonstrated a well-positioned Dobbhoff tube.",
"role": "assistant"
}
] |
[
"../images/486dfea4-dc27bc78-a4e9effa-c328c0ab-a8c3285e.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Portable chest radiograph demonstrates interval insertion of a Dobbhoff tube which is coiled within in the stomach and then turns back to terminate in the esophagus at the level of the clavicles. There is a left-sided PICC line with tip terminating in the mid SVC. There are multifocal opacifications, worst in the lung bases, which may represent atelectasis, though infectious process is consideration, possibly aspiration. Dense opacification projecting over the right mid lung corresponds to a loculated fissural effusion evident on the prior CT.",
"role": "assistant"
}
] |
[
"../images/0fef51dc-8e713f62-0c7f23dc-fb145074-68b8ec4b.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": "Dobbhoff tube with tip coiled in stomach and tip terminating in the upper esophagus. Multiple opacifications likely represent multifocal pneumonia, possibly due to aspiration. Loculated pleural effusion in the right fissure.",
"role": "assistant"
}
] |
[
"../images/0fef51dc-8e713f62-0c7f23dc-fb145074-68b8ec4b.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": "Status post thoracic closure. No evidence of pneumothorax. No pleural effusions. Normal size of the cardiac silhouette. Unchanged bilateral soft tissue air collections.",
"role": "assistant"
}
] |
[
"../images/1ea90c74-cf4ca390-7da19bed-34cd7568-a183d924.jpg",
"../images/a09b7aaa-77f7ca90-d3e26f5c-782a561e-499254d6.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 the previous radiograph, there is no relevant change. No current evidence of pneumothorax. Unchanged aspect of the cardiac silhouette. Unchanged mild bilateral air inclusion in the soft tissues.",
"role": "assistant"
}
] |
[
"../images/79d6fa76-8cc30af0-1dba3386-66e2a784-e134a348.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. Interval removal of the sternal wires with placement of new sternal closure devices, mediastinal ___ and tubes. Lungs are well inflated with linear streaky opacities seen at the left base likely representing scarring and/or subsegmental atelectasis. No evidence of pulmonary edema, pneumothorax, pleural effusions or focal airspace consolidation to suggest pneumonia. Slight lucency at the left apex is felt to be related to underlying emphysema rather than representing a pneumothorax.",
"role": "assistant"
}
] |
[
"../images/0acd838c-5dafe19b-8d9fbbe4-3367ef1b-c28e2b42.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": "Multifocal pneumonia.",
"role": "assistant"
}
] |
[
"../images/7688e895-1ec37491-98ad4a70-8efc45b7-f8ba74da.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": "Dobhoff tube has been repositioned and now passes below the diaphragm and crosses the midline, likely within the second portion of the duodenum. The wire is still in place. Exam is otherwise unchanged.",
"role": "assistant"
}
] |
[
"../images/0e3f8459-2b944097-bffb91c8-6578b8ac-e143b9a2.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": "Dobbhoff tube below the diaphragm and likely post-pyloric.",
"role": "assistant"
}
] |
[
"../images/0e3f8459-2b944097-bffb91c8-6578b8ac-e143b9a2.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 earlier on this date, there is slightly less subcutaneous gas along the right chest wall. Little change in the small amount of subcutaneous gas along the left chest wall.",
"role": "assistant"
}
] |
[
"../images/6e7ba50c-a093a0ce-c9809007-6ffac781-93024486.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The lungs are hyperinflated and the diaphragms are flattened, consistent with COPD. Multiple surgical clips are seen about the mediastinum, consistent with prior surgery. A linear wire-like density is again noted in the retrosternal region, unchanged. Previously seen anterior chest wall drains have been removed. On today's exam, the heart is not enlarged. The aorta is unfolded. There is prominence of a hila suggesting element of pulmonary hypertension, probably unchanged. There is some linear atelectasis and/or scarring at both lung bases. Ring-like opacity in the left upper zone seen on the prior study has resolved, with only minimal residual scarring. No CHF or new focal infiltrate is detected. No effusions are identified. No pneumothorax is detected. Relative lucency at the right base is thought to represent an artifact due to overlying soft tissues of the chest.",
"role": "assistant"
}
] |
[
"../images/8f861239-cf7f8611-13631eb1-e7c4188f-f39f6041.jpg",
"../images/ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158.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. Background COPD, with suspected pulmonary hypertension. 2. Status post sternotomy, with mediastinal clips. No CHF. 3. No acute infiltrate identified. Residual scarring noted, detailed above. 4. No pneumothorax detected.",
"role": "assistant"
}
] |
[
"../images/8f861239-cf7f8611-13631eb1-e7c4188f-f39f6041.jpg",
"../images/ca198d4c-70be63ec-5974f3e9-d6320a38-4eb83158.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 chest examination ___ ___. There is status post sternotomy and aortic valve replacement identifying the metallic components of a porcine aortic valve stenosis in place. These findings are rather unchanged. The heart size has increased slightly. No typical new configurational abnormality can be identified. The pulmonary vasculature is not congested, nor is there evidence. Marked left atrial enlargement when comparing the posterior cardiac wall in relation to the aortic valve prosthesis on the lateral view. The pulmonary vasculature is not congested. On the other hand, the pulmonary vasculature shows again the previously described marked irregular peripheral distribution that coincides with low positioned and flattened diaphragms. Marked increase of chest diameter in depth is noted on the lateral view and related to a markedly increased kyphotic curvature with multiple wedge compressed vertebral bodies in the mid portion of the thoracic spine. As before, one sees multiple peripheral small linear densities and areas of increased translucency rather typical for advanced COPD. Comparison with the next preceding study ___ ___ does not disclose any new discrete parenchymal infiltrate. Also, the lateral and posterior pleural sinuses remain free from any significant fluid accumulation. Bilateral apical pleural thickenings are again seen and have not undergone any significant interval change. Multiple rib deformities as before indicative of previously sustained local rib fractures. Comparison with the next preceding chest examination demonstrates on the frontal view increase of the heart shadow. This coincides also with a more prominent visibility of the azygos vein in the right tracheobronchial angulation. Thus, these findings could suggest a volume increase of the right ventricle and thereto related elevated right-sided filling pressure, a suggestion which matches information that the would recommend the performance of an echocardiogram to look for possible right ventricular strain, tricuspid incompetence and elevated right-sided filling pressure. patient has developed new pedal edema. To confirm this suspicion,an echocardiograM could be helpful. No acute new parenchymal infiltrates in these advanced findings of of COPD.No evidence of pulmonary venous congestion.",
"role": "assistant"
}
] |
[
"../images/c08e8ebb-14a3a1f0-0da1ea4e-1b2412fb-f2d4da54.jpg",
"../images/6029ba23-5d73e768-c1fe417b-73eb330f-9c507e77.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. Cavitary lesions in the right lung, consistent with known aspergillosis, with interval increase in the size of the largest lesion since ___. 2. Stable multifocal ground glass opacities, with more confluent consolidation in the left upper lobe.",
"role": "assistant"
}
] |
[
"../images/8aa4f925-9b6e30c1-526619f6-79135e41-713c105c.jpg",
"../images/a14d938c-b4edf238-b00dca2d-348b1732-ab6959a5.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 ___ through ___: Small left pleural effusion and worsening of bibasilar peribronchial infiltration indicate progressive infection. There is more internal debris in the large cavitary lesions in both upper lobes, which could be retained hemorrhage. The fluid contents of the very large right lung abscess have decreased suggesting continued internal aspiration, which may account for the worsening of bibasilar infiltration.",
"role": "assistant"
}
] |
[
"../images/a7911dd6-f061c0a0-424f7e91-c27237d4-97faf732.jpg",
"../images/7ceff5ec-861255f1-4d0459f5-ab209407-0cf8014d.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 size of the large right parahilar air-fluid level is slightly decreased. Overall, the massive and predominantly central bilateral parenchymal opacities of mixed morphology are stable in extent and severity. Unchanged normal size of the cardiac silhouette. Unchanged absence of pleural effusions. Unchanged mild elevation of the left hemidiaphragm.",
"role": "assistant"
}
] |
[
"../images/67c9c5c6-f729ea08-a8ff4f27-2c8591bb-09775150.jpg",
"../images/fa46f7c1-2f7b2152-3371f918-8971f374-e6405bae.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": "Dominant central cavitary lesions are similar in appearance. Widespread preibronchial abnormality is worsened concerning for worsening infection. No pneumothorax or pleural effusion seen. Heart is normal in size.",
"role": "assistant"
}
] |
[
"../images/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.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": "Stable cavitary lesions but worsening peribronchial opacities concerning for worsening airways-related infection.",
"role": "assistant"
}
] |
[
"../images/8de65847-743ba591-16ca4044-0b5f1002-f1545e14.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. Mild pulmonary vascular congestion, though no overt interstitial edema 2. Unchanged mild cardiomegaly",
"role": "assistant"
}
] |
[
"../images/a13f355f-dafd65c3-ab50b75f-03d32b03-0a659e44.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral views of the chest were obtained. The patient is status post median sternotomy. The previously seen left lower lobe focus of consolidation is no longer seen. There is mild right base atelectasis. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable; the cardiac silhouette is not enlarged. The aorta remains calcified and tortuous. Evidence of DISH is seen along the spine.",
"role": "assistant"
}
] |
[
"../images/8b177416-806e9ce8-3b975084-9b91c002-0ca6d0aa.jpg",
"../images/eb015667-db827ca3-eadd5d39-1e4f2e30-bf09f5b6.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/8b177416-806e9ce8-3b975084-9b91c002-0ca6d0aa.jpg",
"../images/eb015667-db827ca3-eadd5d39-1e4f2e30-bf09f5b6.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "AP and lateral views of the chest. Lower lung volumes seen on the current exam. Streaky predominantly right-sided mid and lower lung opacities are seen, most likely due to atelectasis. The lungs are otherwise clear. Please note the patient's arms are partly obscuring the visualization of the lungs on the lateral view. The cardiomediastinal silhouette is stable. Median sternotomy wires again noted. Degenerative changes at the right shoulder are identified.",
"role": "assistant"
}
] |
[
"../images/038426f2-7b990f98-24487e3e-2bd7a156-4761c39a.jpg",
"../images/fff8b765-4289d0ce-6805237f-93fcb87b-f911319c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No definite acute cardiopulmonary process.",
"role": "assistant"
}
] |
[
"../images/038426f2-7b990f98-24487e3e-2bd7a156-4761c39a.jpg",
"../images/fff8b765-4289d0ce-6805237f-93fcb87b-f911319c.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. The lungs are clear of focal consolidation or large effusion, noting that the right costophrenic angle is excluded from the field of view on the lateral view. No overt pulmonary edema. Cardiomediastinal silhouette is enlarged but stable. Median sternotomy wires are again noted. Hypertrophic changes seen in the spine.",
"role": "assistant"
}
] |
[
"../images/9e39cc45-a2ff14d4-3339ec28-dae4711c-f856e2b8.jpg",
"../images/c33529b6-0bc71076-a10b08f6-ef0692d4-2c28d98f.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/9e39cc45-a2ff14d4-3339ec28-dae4711c-f856e2b8.jpg",
"../images/c33529b6-0bc71076-a10b08f6-ef0692d4-2c28d98f.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The patient is status post coronary artery bypass graft surgery. The heart is at the upper limits of normal size. The aortic arch is partly calcified. The pulmonary vasculature is minimally prominent suggesting pulmonary venous hypertension or slight congestion without frank congestive heart failure. There is also a patchy right infrahilar opacity, suspected to represent minor streaky atelectasis. A linear opacity seen posteriorly on the lateral view probably is due to stable scarring in the left lower lobe. There are no pleural effusions or pneumothorax. Thin anterior flowing syndesmophytes are present along the lateral and anterior aspects of the visualized thoracic spine, which could be seen with idiopathic skeletal hyperostosis.",
"role": "assistant"
}
] |
[
"../images/3ad494b4-6c39cc5d-18af4458-ca534fa5-36427e1e.jpg",
"../images/0e02f05c-dfa11803-7fd610f9-7011086c-eeeeb1fb.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. Findings suggesting minimal congestion or pulmonary venous hypertension, new on this study. 2. Patchy right basilar opacity suspected to represent minor atelectasis.",
"role": "assistant"
}
] |
[
"../images/3ad494b4-6c39cc5d-18af4458-ca534fa5-36427e1e.jpg",
"../images/0e02f05c-dfa11803-7fd610f9-7011086c-eeeeb1fb.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Frontal and lateral views of the chest were obtained. There are low lung volumes which accentuate the bronchovascular markings. Bibasilar opacities are seen, which most likely represent atelectasis, although aspiration or infection are not excluded in the appropriate clinical setting. No pleural effusion or pneumothorax is seen. The cardiac and mediastinal silhouettes are stable and unremarkable.",
"role": "assistant"
}
] |
[
"../images/6acc427b-57dfcb76-42bfe32a-060177db-044a5c6f.jpg",
"../images/74b808ff-f5c9a368-31feafce-c0e5c66d-d251a32c.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The lungs are low in volume but appear clear aside from some retrocardiac atelectasis. The heart is normal in size. Normal cardiomediastinal silhouette. No pleural effusion or pneumothorax is seen. No definite rib fractures are identified.",
"role": "assistant"
}
] |
[
"../images/b78b1110-28e93f4d-b7e0e8f6-22552c4c-b967810b.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No acute intrathoracic process.",
"role": "assistant"
}
] |
[
"../images/b78b1110-28e93f4d-b7e0e8f6-22552c4c-b967810b.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": "Left basilar atelectasis. No consolidation, edema or pleural effusions.",
"role": "assistant"
}
] |
[
"../images/13c8c746-5d1d71f5-af021e53-041a96c3-710e3730.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": "A left pectoral pacemaker device with leads through the left transvenous approach end into the right atrium and right ventricle respectively. The patient is status post median sternotomy with intact sternal sutures. Heart size, mediastinal and hilar contours are normal. Left lung is remarkable for mild left basal atelectasis. Right lung is clear. No pneumonia or pulmonary edema. There is no pleural abnormality.",
"role": "assistant"
}
] |
[
"../images/354f8abd-01f7f413-cb068ad1-1d47c651-7a17c514.jpg",
"../images/af4526a3-ed45d1ae-28409d1f-a7389574-8e977011.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 no focal consolidation or effusion. There is a dominant nodule in the left perihilar region measuring approximately 2.3 cm. Additional smaller nodules project over the bilateral lung apices. Given history of prior malignancy, underlying metastases would be of concern. Nonurgent chest CT is suggested to further evaluate. Cardiomediastinal silhouette is within normal limits. Left chest wall dual lead pacing device is seen as well as median sternotomy wires. Chronic deformity of the proximal left humerus suggests prior fracture.",
"role": "assistant"
}
] |
[
"../images/4e2deb58-2087d69f-a4c1a7c8-776af924-1bd0202d.jpg",
"../images/cafde7cd-b6e7a873-406f5371-358aca60-ed02bdc3.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Bilateral pulmonary nodules concerning for metastatic disease. Nonurgent chest CT is suggested to further evaluate.",
"role": "assistant"
}
] |
[
"../images/4e2deb58-2087d69f-a4c1a7c8-776af924-1bd0202d.jpg",
"../images/cafde7cd-b6e7a873-406f5371-358aca60-ed02bdc3.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": "Dual lead left-sided pacemaker is stable in position with leads extending to the expected positions of the right atrium and right ventricle. The patient is status post median sternotomy. There is minimal left base atelectasis. No focal consolidation, pleural effusion, or evidence of pneumothorax is seen. The cardiac and mediastinal silhouettes are stable. No displaced fracture is seen.",
"role": "assistant"
}
] |
[
"../images/0f513599-eb6bddc9-4306d15d-46c7c0c2-a3c6c854.jpg",
"../images/de7f2739-8c743a3a-6e0e37fb-635c58f5-a48a0ab7.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/0f513599-eb6bddc9-4306d15d-46c7c0c2-a3c6c854.jpg",
"../images/de7f2739-8c743a3a-6e0e37fb-635c58f5-a48a0ab7.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. No acute intrathoracic process. 2. No free intraabdominal air. 3. Mild leftward deviation of the trachea. Please correlate with physical examination.",
"role": "assistant"
}
] |
[
"../images/bd8fc3e9-687db5d6-574cb5a6-b78d18b2-2f5fb4de.jpg",
"../images/db0c967e-30c9c887-b4196fb7-e0ba8546-1b9ad52e.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": "As compared to the previous radiograph, the patient has received a nasogastric tube. The tip projects over the middle parts of the stomach. No complications, notably no pneumothorax. The apical lung regions are not included on the image.",
"role": "assistant"
}
] |
[
"../images/c2d5f938-8ac36872-dfac1b06-126c490e-6f63e582.jpg",
"../images/7af50fb4-7220f1e6-2f232aa7-bdbbc51c-18f1c512.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "An opacity in the right infrahilar region on the PA image and overlying the spine on the lateral image is consistent with pneumonia. The previously seen opacity on the left has improved suggesting it was likely due to edema. A pulmonary edema is improved from the prior radiograph, although a small amount of edema remains. The cardiac silhouette is stably enlarged. There is no pleural effusion or pneumothorax. A right internal jugular double-lumen hemodialysis catheter ends in the atrium.",
"role": "assistant"
}
] |
[
"../images/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg",
"../images/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.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. Right infrahilar opacity is most likely pneumonia. 2. Improving pulmonary edema.",
"role": "assistant"
}
] |
[
"../images/74a8518e-540825ef-5348424e-50918195-a06fc105.jpg",
"../images/d8716bfb-b0b2d6fc-44ff5f4b-ab0a9bba-8b1a5390.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 ___: Moderately severe pulmonary edema has changed in distribution but not in overall severity since ___. A small concurrent pneumonia would not be appreciated. Small bilateral pleural effusions are presumed. Moderate cardiomegaly and mediastinal vascular engorgement are unchanged, and recurrent.",
"role": "assistant"
}
] |
[
"../images/46501b98-e0a88786-27dbb719-b9a7468c-376d9f6a.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "A left chest wall central line terminates in the right atrium. There is no pneumothorax. Lung volumes are extremely low. Prominence of the interstitial markings is likely due to mild pulmonary edema. The cardiac silhouette is enlarged as seen previously. There are no appreciable pleural effusions. Degenerative changes are noted within the right humeral head.",
"role": "assistant"
}
] |
[
"../images/b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "No evidence of pneumothorax. No significant change since the prior exam.",
"role": "assistant"
}
] |
[
"../images/b0777bfe-820d4a8b-e6e4ec7a-7aacd190-f85113cf.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": "Left sided dual lumen catheter tip terminates within the proximal right atrium, unchanged. Mild to moderate cardiomegaly is similar. The aorta remains tortuous and diffusely calcified. Mild pulmonary edema is unchanged compared to the prior study. There is likely a small right pleural effusion, without evidence for pneumothorax. No acute osseous abnormalities detected.",
"role": "assistant"
}
] |
[
"../images/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg",
"../images/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Mild pulmonary edema, not significantly changed from the prior exam with trace right pleural effusion.",
"role": "assistant"
}
] |
[
"../images/eeb4d97d-b303714e-7efc3b02-a7b0e4a6-20127092.jpg",
"../images/56b0777b-ec731ed4-e7b2af82-7cedbe31-65605bf9.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "AP and lateral views of the chest were obtained. The lateral view is suboptimal due to overlying soft tissues due to patient's inability to move right arm, secondary to chronic right humeral head deformity and severe osteoarthritis of the right glenohumeral joint. A left port-a-cath is again seen, terminating at the cavoatrial junction. The heart is moderately enlarged, as before. The lung volumes are low, and there is mild fluid overload with small bilateral pleural effusions. There is no pneumothorax or focal consolidation concerning for pneumonia. Bibasilar atelectasis is present.",
"role": "assistant"
}
] |
[
"../images/39ca48e7-53f0eca0-ce297a4a-84fa12a4-cb30308f.jpg",
"../images/35c92af3-ed9be418-cfa5c77f-01d6e3c7-fcb5af0a.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. Moderate cardiomegaly with mild fluid overload and small bilateral pleural effusions. No definite evidence of pneumonia. 2. Chronic deformity of the right humeral head with severe osteoarthritis of the right glenohumeral joint.",
"role": "assistant"
}
] |
[
"../images/39ca48e7-53f0eca0-ce297a4a-84fa12a4-cb30308f.jpg",
"../images/35c92af3-ed9be418-cfa5c77f-01d6e3c7-fcb5af0a.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Right hemodialysis catheter again terminates in the right atrium. There is minimal increase in bilateral airspace opacities suggesting pulmonary edema. Moderate cardiomegaly is unchanged. The pulmonary artery is enlarged. The aortic arch is calcified. Previous rounded opacity at the right base is re-demonstrated. There is no large pleural effusion or pneumothorax.",
"role": "assistant"
}
] |
[
"../images/a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc.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. Moderate cardiomegaly and mild-to-moderate interstitial pulmonary edema. 2. Round lesion at the right lung base is unchanged",
"role": "assistant"
}
] |
[
"../images/a336fc81-7ee080cf-fe8b1be1-38aa5c12-add53acc.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 change from ___.",
"role": "assistant"
}
] |
[
"../images/e199d51c-58d0356d-8ed19c9f-64ddb8ec-cd3fdc7a.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "As compared to the previous radiograph, the endotracheal tube, the nasogastric tube, and the left internal jugular vein catheter are unchanged. The right hemodialysis catheter has been removed. The signs of moderate to massive fluid overload, combined to a rounded opacity at the right lung base, are unchanged in extent and severity. No larger pleural effusions. No new parenchymal opacities.",
"role": "assistant"
}
] |
[
"../images/b1e23843-fd96303d-eaefd4f1-7b0a4357-08877685.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, there is no relevant change. Low lung volumes. Moderate cardiomegaly with minimal fluid overload. No overt pulmonary edema. No pleural effusions. No pneumonia.",
"role": "assistant"
}
] |
[
"../images/9cf8e1b3-4a4ea8dd-33fc8814-862d81e5-34c105d1.jpg",
"../images/074f413f-4fe47c0b-104f1e39-9ce05cf9-a0df5bd4.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. New retrocardiac opacity which could reflect aspiration, infection or atelectasis. 2. Unchanged background interstitial abnormality and central vascular enlargement.",
"role": "assistant"
}
] |
[
"../images/28846b1c-da929f47-35763299-12d7c8fa-da2e4559.jpg",
"../images/7a32ee89-21330f2f-d60055cb-97551429-e4a105d1.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. Double-lumen left-sided dialysis catheter is seen terminating in the right atrium, stable in position. There is stable enlargement of the cardiac silhouette. The aortic knob remains calcified. There is prominence of the pulmonary vasculature, similar to prior. There may be small bilateral pleural effusions. The lateral view is suboptimal due to patient's overlying arm and a posterior lung consolidation is not excluded. No evidence of pneumothorax.",
"role": "assistant"
}
] |
[
"../images/02671608-065b76e2-274885ec-ecfab8e8-3b4725fc.jpg",
"../images/f2166859-f4629ed4-014033b5-930fc410-8a9f51c9.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": "Mild pulmonary edema is improved from prior exam. Dilated main pulmonary artery is seen, compatible with pulmonary arterial hypertension. No large effusion is seen on this supine film. There is no pneumothorax. The cardiac silhouette is moderately enlarged but stable. Left-sided double lumen central venous catheter is seen with tip in the right atrium. Degenerative changes are seen in the right humeral head, better characterized on the dedicated exam. Surgical sutures are noted in the right upper quadrant.",
"role": "assistant"
}
] |
[
"../images/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. Mild pulmonary edema, improved from the prior study. 2. Dilated main pulmonary artery, compatible with pulmonary arterial hypertension.",
"role": "assistant"
}
] |
[
"../images/b9b1f6e8-15e667f7-ded64b1b-841d8028-ebf79954.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": "Clips project over the upper aspect of the abdomen. The dialysis catheter tip sits in the superior right atrium. The heart size is at the upper limits of normal. The mediastinal and hilar contours are within normal limits. Perihilar opacities represent pulmonary edema, slightly worse than prior exam. A subtle nodular opacity is present in the left suprahilar region and is new from ___. Blunting of the bilateral costophrenic angle suggests small amount of pleural effusion.",
"role": "assistant"
}
] |
[
"../images/253ff311-29b03520-fb3b41cc-943dee43-7ac172d5.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 with worsening pulmonary edema. 2. Subtle left suprahilar nodular opacity may represent a focal area of edema; repeat imaging after diuresis may be considered.",
"role": "assistant"
}
] |
[
"../images/253ff311-29b03520-fb3b41cc-943dee43-7ac172d5.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 diffuse mild interstitial abnormality, unchanged from prior chest radiographs, and likely chronic. There is no evidence of consolidation or edema. There is no pleural effusion or pneumothorax. There is evidence of stable pulmonary hypertension and vascular engorgement. The aorta is calcified and tortuous. The mediastinal contours are otherwise normal. The heart is moderately enlarged. A left Port-A-Cath is present with the tip in the right atrium.",
"role": "assistant"
}
] |
[
"../images/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg",
"../images/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. No acute cardiopulmonary process. 2. Stable diffuse interstitial abnormality, moderate cardiomegaly, vascular engorgement and secondary signs of pulmonary hypertension.",
"role": "assistant"
}
] |
[
"../images/04e9517d-42048357-acb498cb-3abdd733-bd007f09.jpg",
"../images/53f32ceb-f05afd4e-d67f0e46-129e6b89-26b170b5.jpg"
] |
mimic_impression
|
[
{
"content": "<image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "The ET tube is 2.6 cm above the Carina. The right lower lung opacity is again visualized. The heart is moderately enlarged. There is pulmonary vascular redistribution with ill-defined vascularity compatible fluid overload. An underlying infectious infiltrate cannot be excluded. NG tube tip is off the film, at least in the stomach. Severe degenerative changes of the right humeral head are again seen.",
"role": "assistant"
}
] |
[
"../images/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "ET tube 2.6 cm above the Carina.",
"role": "assistant"
}
] |
[
"../images/3800242f-50b7f001-e4bbe30b-53ec3863-df4fe7dc.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 supine portable view of the chest was obtained. A large bore left-sided central venous catheter is seen extending to the right atrium. There is moderate pulmonary edema with possible trace bilateral pleural effusions. Relative more confluent opacity in the right lung base is again seen, worrisome for consolidation which has been present over multiple prior radiographs and could relate to the pulmonary edema. The cardiac and mediastinal silhouettes are stable. Surgical clips seen in the upper abdomen.",
"role": "assistant"
}
] |
[
"../images/c19b01bf-e57e7aee-f251430e-9a1d156e-acbf7677.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": "Left-sided dual lumen dialysis catheter tip terminates in the proximal right atrium, unchanged. The heart is mild to moderately enlarged with left atrial prominence. Mediastinal contours are unchanged. There is mild to moderate moderate pulmonary edema, with more focal opacity seen in the right lung base, new from the prior study. Small bilateral pleural effusions are noted. There is no pneumothorax. No acute osseous abnormalities are visualized. Clips are seen within the upper abdomen.",
"role": "assistant"
}
] |
[
"../images/fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b.jpg",
"../images/03502481-6cda13ba-cb388ede-fbd7eb62-5b02b608.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Mild to moderate pulmonary edema, similar compared to the prior study, with more focal opacity in the right lung base concerning for an area of infection.",
"role": "assistant"
}
] |
[
"../images/fcacd1e7-993853b9-c2a8e32f-c4fff20c-7792291b.jpg",
"../images/03502481-6cda13ba-cb388ede-fbd7eb62-5b02b608.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Single portable chest radiograph is provided. A left central line catheter tip terminates within the right atrium. Compared to the previous exam there is increased radiodensiy in the right lower lung zone and since the left lower lung is difficult to evaluate, it is unclear if this is a unilateral process. The heart remains severely enlarged. Multiple pulmonary nodules are better visualized in the prior CT. There is no pneumothorax or pleural effusion. Severe degenerative changes within the right shoulder are noted.",
"role": "assistant"
}
] |
[
"../images/8d9be95b-acae4c91-b54b7471-ffba1791-2685235f.jpg",
"../images/202eeb12-617bacc6-b42cd0f1-1833bd07-b12aab41.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": "Increased radiodensity in the right lower lung zone which may represent asymmetric pulmonary edema or pneumonia.",
"role": "assistant"
}
] |
[
"../images/8d9be95b-acae4c91-b54b7471-ffba1791-2685235f.jpg",
"../images/202eeb12-617bacc6-b42cd0f1-1833bd07-b12aab41.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. Dual-lumen left-sided central venous catheter is seen with distal tip in the right atrium. Given differences in technique, there has been no significant interval change in the degree of pulmonary edema when compared to prior. The cardiomediastinal silhouette is unchanged. Atherosclerotic calcifications again noted at the arch. No acute osseous abnormality is identified.",
"role": "assistant"
}
] |
[
"../images/67486f3c-a4ef806f-47d7541c-c1f00d2e-9c2f09fe.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": "Pulmonary edema, unchanged from prior.",
"role": "assistant"
}
] |
[
"../images/67486f3c-a4ef806f-47d7541c-c1f00d2e-9c2f09fe.jpg"
] |
mimic_impression
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate the \"FINDINGS\" section of an X-ray report based on the provided image(s). Carefully examine the image(s) and describe all observed anatomical structures and abnormalities in a systematic and objective manner.",
"role": "user"
},
{
"content": "Mild cardiomegaly is similar to prior. Cardiomediastinal contours are stable. Indistinct appearance of the pulmonary vasculature is compatible with pulmonary edema. Nodular opacity projecting over the right mid lung is similar to ___. Blunting of the right costophrenic angle and indistinctness of the left costophrenic angle are compatible with small bilateral pleural effusions. Retrocardiac opacity may represent atelectasis though pneumonia is not excluded. No pneumothorax. Dialysis catheter terminates in the right atrium. The right humeral head is chronically deformed and an adjacent calcified loose body is again seen.",
"role": "assistant"
}
] |
[
"../images/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg",
"../images/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.jpg"
] |
mimic_findings
|
[
{
"content": "<image> <image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "Mild pulmonary edema, similar to ___, with small bilateral pleural effusion and retrocardiac opacity compatible with atelectasis, although pneumonia may be considered in the appropriate clinical setting.",
"role": "assistant"
}
] |
[
"../images/6b0e83ab-6cdfeb29-98310cca-4b6aa8f5-8455fe63.jpg",
"../images/9a64df47-d0610142-8f6232fb-b9e742e6-c06baf1f.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": "A dual lumen left subclavian central venous catheter terminates in the right atrium unchanged from prior exam. The heart size is stably enlarged. Vascular calcifications are seen along the aortic arch. There is perihilar and basilar prominence of the pulmonary vasculature compatible with fluid overload. Mild interstitial abnormalities are unchanged from prior exam. There is blunting of the bilateral posterior costovertebral angles likely representing a very small effusions. Patchy consolidations in the right middle lobe may represent pneumonia in the right clinical circumstances.",
"role": "assistant"
}
] |
[
"../images/76e5c84a-6fc4083b-55704f3a-0af624ed-5f4c9970.jpg",
"../images/e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e.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. Right middle lobe patchy consolidation which could reflect infectious process. 2. Perihilar and basilar vascular prominence compatible with fluid overload.",
"role": "assistant"
}
] |
[
"../images/76e5c84a-6fc4083b-55704f3a-0af624ed-5f4c9970.jpg",
"../images/e023c3e4-39101fc9-0c1d4cb4-1566e997-0080096e.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 most recent prior exam, there has been little interval change. No new consolidation, pleural effusion, or pneumothorax is appreciated on this single frontal view. Heart size is enlarged. The aorta is calcified. Right-sided hemodialysis catheter terminates in the right atrium, as seen previously.",
"role": "assistant"
}
] |
[
"../images/6ff741e9-6ea01eef-1bf10153-d1b6beba-590b6620.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": "Stable chest radiograph. No significant edema.",
"role": "assistant"
}
] |
[
"../images/6ff741e9-6ea01eef-1bf10153-d1b6beba-590b6620.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 cardiomediastinal silhouette is prominent but stable. The cardiac silhouette is enlarged with prior coronary stenting noted. Calcification at the aortic knob is unchanged. A large bore left-sided central venous catheter is unchanged in position with the tip terminating in the right atrium. The pulmonary vasculature is prominent with mild interstitial pulmonary edema, slightly improved from ___. There is increased right perihilar opacification from the most recent prior study also likely due to pulmonary edema. Streaky opacities at the bilateral lung bases most likely reflect atelectasis; however, superimposed infection is not excluded in the appropriate clinical context. There is a small right pleural effusion. No pneumothorax detected. Radiopaque densities projecting over the left lateral lung base are likely external to the patient. There is no evidence of free air beneath the right hemidiaphragm.",
"role": "assistant"
}
] |
[
"../images/09248f93-7275a552-c55b735a-29981340-e0b66153.jpg"
] |
mimic_findings
|
[
{
"content": "<image> Please act as an experienced radiologist and generate a succinct \"IMPRESSION\" section summarizing the most pertinent findings from the imaging study. Focus on key abnormalities and potential diagnoses, ensuring clarity and conciseness.",
"role": "user"
},
{
"content": "1. Mild pulmonary edema. Increased opacification at the bilateral lung bases may be related in part to dependent pulmonary edema and atelectasis. 2. No widening of the mediastinum. Stable cardiomegaly.",
"role": "assistant"
}
] |
[
"../images/09248f93-7275a552-c55b735a-29981340-e0b66153.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. No acute intrathoracic process. 2. Chronic cardiomegaly and biventricular decompensation. No edema currently.",
"role": "assistant"
}
] |
[
"../images/c02b4b56-24488f86-c4b9886d-86e515ce-ae4f0555.jpg",
"../images/77911e4a-fb35c2ec-cd17f417-a514b2d2-47244970.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": "A right-sided tunneled dialysis catheter terminates in the right atrium. The cardiac silhouette is enlarged. There is redemonstration of peribronchial cuffing and increased interstitial markings, likely secondary to pulmonary edema. Increased bilateral lung opacities refelct growing nodules. There is a new region of consolidation above the minor fissure which could refelct an early infectious process.",
"role": "assistant"
}
] |
[
"../images/9b4f1964-734c3d45-d58e0850-71a0baee-535ae2c8.jpg",
"../images/194f6925-e9306f2d-eba4d0b5-0187742f-fb7e0343.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. Right-sided tunnel dialysis catheter terminates in the right atrium. 2. Increased bilateral lung opacities reflect growing nodules. 3. New region of consolidation above the minor fissure is concerning for an acute infectious process. Short interval followup recommended.",
"role": "assistant"
}
] |
[
"../images/9b4f1964-734c3d45-d58e0850-71a0baee-535ae2c8.jpg",
"../images/194f6925-e9306f2d-eba4d0b5-0187742f-fb7e0343.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": "Support and monitoring devices are in standard position. Cardiomegaly is accompanied by pulmonary vascular congestion and worsening edema. Increasing confluent opacity in the right perihilar and infrahilar regions may reflect asymmetrical edema or developing pneumonia. Known right middle lobe mass is partially obscured by this process. Moderate layering right pleural effusion and small left pleural effusion are also demonstrated.",
"role": "assistant"
}
] |
[
"../images/fcefff91-22ab7055-235f085c-ea9ac8ad-bbdaa83c.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 semi-erect portable view of the chest was obtained. Moderate-to-severe pulmonary edema is again seen. Difficult to exclude underlying pleural effusions. The cardiac and mediastinal silhouettes are stable. There has been interval placement of a large-bore left-sided catheter, distal tip not optimally seen, but likely terminates in the cavoatrial junction/right atrium.",
"role": "assistant"
}
] |
[
"../images/f12f4aff-464794a0-43804b4b-647ac047-cc14b671.jpg"
] |
mimic_findings
|
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