env_id large_stringclasses 17
values | error large_stringclasses 0
values | example_id large_stringlengths 1 4 | answer large_stringlengths 1 6.76k ⌀ | extras large_stringclasses 0
values | generation_ms float64 -826.31 4.07M | job_run_id large_stringclasses 12
values | judge_cost float64 0 0.11 | judge_token_completion float64 0 12.2k | judge_token_prompt float64 0 400k | judge_token_total float64 0 404k | model_cost float64 0 1.05 | model_id large_stringclasses 12
values | version_info large_stringclasses 0
values | model_token_completion float64 0 86.5k | model_token_prompt float64 0 542k | model_token_total float64 0 554k | reward float64 0 1 | rollout_index int64 0 2 | run_id large_stringclasses 225
values | scoring_ms float64 0.03 297k | status large_stringclasses 1
value | task large_stringclasses 9
values | total_ms float64 -691.92 4.07M |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
mtsamples_replicate | null | 48 | The patient is released from the hospital secondary to court evaluation, which did not extend his involuntary stay. He has an appointment in four days with his outpatient psychiatrist, Dr. X. He has four days' worth of medications and agrees to no self-harm or harm of others. Additionally, he agrees to let staff know o... | null | 31,978.849888 | sonnet-4_5-20251217-142420 | 0.0032 | 1,820 | 5,024 | 6,844 | 0.0233 | sonnet-4_5 | null | 1,372 | 893 | 2,265 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.175714 | completed | default | 49,893.429756 |
mtsamples_replicate | null | 49 | 1. Generalized pallor and evidence of exsanguination.2. Multiple stab and incised wounds of head, neck, trunk and upper extremities with one (1) stab wound penetrating left skull into brain; three (3) stab wounds penetrating right back into chest cavity and right lung; another stab wound at lateral right chest penetrat... | null | 10,446.043253 | sonnet-4_5-20251217-142420 | 0.002 | 976 | 4,384 | 5,360 | 0.0098 | sonnet-4_5 | null | 373 | 1,397 | 1,770 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.174522 | completed | default | 20,238.770485 |
mtsamples_replicate | null | 50 | 1. Anoxic-ischemic encephalopathy (see attached neuropathology report).a. Extremity muscle atrophy and contractures.b. Bilateral bronchopneumonia.c. Osteoporosis (with Tl 1 endplate fracture).d. Urolithiasis.e. Renal scar (right).f. Heterotopic ossification.g. Degenerative joint changes.h. Glossal, pharyngeal, and neck... | null | 11,905.700684 | sonnet-4_5-20251217-142420 | 0.0027 | 825 | 8,119 | 8,944 | 0.0175 | sonnet-4_5 | null | 467 | 3,493 | 3,960 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.149012 | completed | default | 19,186.909914 |
mtsamples_replicate | null | 51 | Upon dissection of the left axillary mass, the mass was removed in toto and noted to have a cavity within it consistent with an abscess.No loose structures were identified and sent for frozen section, which upon intraoperative consultation with Pathology Department revealed no obvious evidence of lymphoma, however, the... | null | 24,478.417873 | sonnet-4_5-20251217-142420 | 0.0025 | 1,320 | 4,684 | 6,004 | 0.0185 | sonnet-4_5 | null | 1,007 | 1,143 | 2,150 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.22912 | completed | default | 36,580.764771 |
mtsamples_replicate | null | 52 | The patient was brought to the OR in satisfactory condition and placed supine on the OR table. Underwent general anesthesia along with Marcaine in the nasal tip areas for planned excision. The area was injected, after sterile prep and drape, with Marcaine 0.25% with 1:200,000 adrenaline. | null | 29,204.328537 | sonnet-4_5-20251217-142420 | 0.0024 | 1,334 | 4,097 | 5,431 | 0.021 | sonnet-4_5 | null | 1,286 | 554 | 1,840 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.13113 | completed | default | 39,889.255762 |
mtsamples_replicate | null | 53 | The patient was brought to the operating room, placed in supine position, given general endotracheal anesthesia. The left ear was then draped in a clean fashion. Under microscopic visualization, the ear canal was cleaned of the wax. Myringotomy incision was made in the anterior inferior quadrant. There was no fluid in ... | null | 23,935.378551 | sonnet-4_5-20251217-142420 | 0.0029 | 1,561 | 4,882 | 6,443 | 0.0188 | sonnet-4_5 | null | 1,092 | 801 | 1,893 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.052214 | completed | default | 38,678.113461 |
mtsamples_replicate | null | 54 | The patient will remain at rest initially with progressive ambulation after. She will avoid lifting, driving or intercourse. She will call me if any fevers, drainage, bleeding, or pain. Follow up in my office in four weeks. Family history, social history, psychosocial needs per the social worker.DISCHARGE MEDICATIONS: ... | null | 25,058.66456 | sonnet-4_5-20251217-142420 | 0.0032 | 2,691 | 3,516 | 6,207 | 0.0182 | sonnet-4_5 | null | 1,151 | 305 | 1,456 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.069857 | completed | default | 60,863.265753 |
mtsamples_replicate | null | 55 | This is a 34-year-old female with a BMI of 43 who is interested in surgical weight via the gastric bypass as opposed to Lap-Band. ABC will be asking for a letter of medical necessity from Dr. XYZ. She will also see my nutritionist and social worker and have an upper endoscopy. Once this is completed, we will submit her... | null | 30,948.286057 | sonnet-4_5-20251217-142420 | 0.0023 | 1,215 | 4,510 | 5,725 | 0.0226 | sonnet-4_5 | null | 1,371 | 665 | 2,036 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 1.38092 | completed | default | 41,685.612679 |
mtsamples_replicate | null | 56 | This is a 51-year-old female with a BMI of 43 who is interested in the Lap-Band as opposed to gastric bypass. ABC will be asking for a letter of medical necessity from XYZ. She will also need an EKG and clearance for surgery. She will also see my nutritionist and social worker and once this is completed, we will submit... | null | 36,205.934763 | sonnet-4_5-20251217-142420 | 0.0027 | 1,478 | 5,002 | 6,480 | 0.0252 | sonnet-4_5 | null | 1,519 | 808 | 2,327 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.065327 | completed | default | 49,902.950048 |
mtsamples_replicate | null | 57 | We will have her undergo routine nutritional and psychosocial assessment. I suspect that we can significantly improve the situation with her insulin and oral hypoglycemia, as well as hypertension, with significant weight loss. She is otherwise at increased risk for future complications given her history, and weight los... | null | 31,265.531301 | sonnet-4_5-20251217-142420 | 0.0023 | 1,408 | 4,147 | 5,555 | 0.0218 | sonnet-4_5 | null | 1,348 | 514 | 1,862 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.095844 | completed | default | 44,927.973986 |
mtsamples_replicate | null | 58 | In preparation for surgery, we will obtain the usual baseline laboratory values including baseline vitamin levels. I recommended the patient undergo an upper GI series prior to surgery due to find her upper GI anatomy. Also the patient will meet with the dietitian and psychologist as per her usual routine. I have recom... | null | 40,074.038982 | sonnet-4_5-20251217-142420 | 0.0031 | 1,481 | 6,083 | 7,564 | 0.0317 | sonnet-4_5 | null | 1,892 | 1,113 | 3,005 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.123262 | completed | default | 56,365.279198 |
mtsamples_replicate | null | 59 | The scout radiograph demonstrates a nonobstructive gastrointestinal pattern. There are no suspicious calcifications seen or evidence of gross free intraperitoneal air. The visualized lung bases and osseous structures are within normal limits.The rectum and colon is of normal caliber throughout its course. There is no e... | null | 16,152.28653 | sonnet-4_5-20251217-142420 | 0.0022 | 1,349 | 3,016 | 4,365 | 0.0119 | sonnet-4_5 | null | 722 | 370 | 1,092 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.211716 | completed | default | 28,866.242886 |
mtsamples_replicate | null | 60 | Based on this evaluation and following recommendations are being made:1. The patient to take small bite and small sips to help decrease the risk of aspiration and penetration.2. The patient should remain upright at a 90-degree angle for at least 45 minutes after meals to decrease the risk of aspiration and penetration ... | null | 27,335.561275 | sonnet-4_5-20251217-142420 | 0.0023 | 1,366 | 4,109 | 5,475 | 0.0202 | sonnet-4_5 | null | 1,226 | 587 | 1,813 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.735283 | completed | default | 40,012.156248 |
mtsamples_replicate | null | 61 | Based on this evaluation, the following is recommended:1. The patient should be on a regular diet with nectar-thick liquids to help prevent aspiration and penetration.2. The patient should have unthickened water in between meals to help decrease his risk of dehydration.3. The patient should complete good oral care two ... | null | 29,985.128641 | sonnet-4_5-20251217-142420 | 0.0028 | 1,739 | 4,696 | 6,435 | 0.0218 | sonnet-4_5 | null | 1,295 | 780 | 2,075 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.062466 | completed | default | 49,324.364424 |
mtsamples_replicate | null | 62 | Based on this evaluation, the following is recommended:1. The patient's diet should consist regular consistency food with thin liquids. She needs to take small bites and small sips to help decrease her risk of aspiration and penetration as well as reflux.2. The patient should be referred to an otolaryngologist for furt... | null | 23,229.029894 | sonnet-4_5-20251217-142420 | 0.003 | 2,201 | 3,924 | 6,125 | 0.0169 | sonnet-4_5 | null | 998 | 628 | 1,626 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.293493 | completed | default | 39,972.219706 |
mtsamples_replicate | null | 63 | Excellent flow through fistula following the procedure.STATEMENT OF MEDICAL NECESSITY: The patient is a 68-year-old black female who recently underwent a brachiobasilic AV fistula, but without transposition. She has good flow, excellent physical exam, and now is ready for superficialization of the basilic vein. After d... | null | 33,102.952003 | sonnet-4_5-20251217-142420 | 0.0029 | 1,577 | 5,524 | 7,101 | 0.0254 | sonnet-4_5 | null | 1,552 | 723 | 2,275 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.185728 | completed | default | 50,742.923975 |
mtsamples_replicate | null | 64 | We did get an EKG showed some ST segment changes anterolaterally. The only EKG I have here is from 1998 and she actually had bypass in 1999, but there certainly does not appear to be anything acute on his EKG. I assured her that it does not look like she has a stroke. If she wants to prevent a stroke, obviously quittin... | null | 26,954.958677 | sonnet-4_5-20251217-142420 | 0.003 | 2,231 | 4,244 | 6,475 | 0.0185 | sonnet-4_5 | null | 1,105 | 636 | 1,741 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.058889 | completed | default | 49,181.256771 |
mtsamples_replicate | null | 65 | Continue aspirin, Plavix, and Coumadin to an INR of 2 with a carotid duplex followup. | null | 25,044.650555 | sonnet-4_5-20251217-142420 | 0.0032 | 3,135 | 3,979 | 7,114 | 0.0208 | sonnet-4_5 | null | 1,273 | 581 | 1,854 | 0.833333 | 0 | sonnet-4_5-mtsamples_replicate | 0.117064 | completed | default | 68,939.465761 |
mtsamples_replicate | null | 66 | The right carotid cerebral system was selectively catheterized and visualized. The right internal carotid artery was found to be very tortuous with kinking in its cervical portions, but no focal stenosis was noted. Likewise, the intracranial portion of the right internal carotid artery showed no significant disease nor... | null | 20,191.321611 | sonnet-4_5-20251217-142420 | 0.0023 | 1,210 | 3,853 | 5,063 | 0.0168 | sonnet-4_5 | null | 1,003 | 595 | 1,598 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.057459 | completed | default | 32,783.213139 |
mtsamples_replicate | null | 67 | After discussing possible diagnoses with the patient, I have recommended that we get MRI arthrograms of the bilateral hips to evaluate the anatomy and especially concentrating on the labrum in the right hip. We will get that done as soon as possible. In the meantime, she is asked to moderate her activities. She will fo... | null | 21,826.029301 | sonnet-4_5-20251217-142420 | 0.0023 | 1,352 | 3,825 | 5,177 | 0.0153 | sonnet-4_5 | null | 878 | 694 | 1,572 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.127077 | completed | default | 32,465.006828 |
mtsamples_replicate | null | 68 | The breasts are composed of moderately to significantly dense fibroglandular tissue. The overlying skin is unremarkable. | null | 23,916.70084 | sonnet-4_5-20251217-142420 | 0.0021 | 1,292 | 3,521 | 4,813 | 0.0169 | sonnet-4_5 | null | 1,044 | 426 | 1,470 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.141859 | completed | default | 38,328.761101 |
mtsamples_replicate | null | 69 | On bimanual exam, the uterus was found to be anteverted at approximately six weeks in size. There were no adnexal masses appreciated. The vulva and perineum appeared normal. Laparoscopic findings revealed normal appearing uterus, fallopian tubes bilaterally as well as ovaries bilaterally. There was a functional cyst on... | null | 28,192.488432 | sonnet-4_5-20251217-142420 | 0.0033 | 1,725 | 6,626 | 8,351 | 0.0244 | sonnet-4_5 | null | 1,397 | 1,134 | 2,531 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.196695 | completed | default | 43,509.463072 |
mtsamples_replicate | null | 70 | There is a single live intrauterine pregnancy with a vertex lie, posterior placenta, and adequate amniotic fluid. The amniotic fluid index is 23.2 cm. Estimated gestational age based on prior ultrasound is 36 weeks 4 four days with an estimated date of delivery of 03/28/08. Based on fetal measurements obtained today, e... | null | 23,136.513233 | sonnet-4_5-20251217-142420 | 0.0026 | 1,524 | 3,731 | 5,255 | 0.0166 | sonnet-4_5 | null | 1,026 | 410 | 1,436 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.113487 | completed | default | 36,904.724598 |
mtsamples_replicate | null | 71 | The patient was found to have a large right axillary lymphadenopathy, one of the lymph node was sent down as a fresh specimen.PROCEDURE: After informed written consent, risks and benefits of this procedure were explained to the patient. The patient was brought to the operating suite, prepped and draped in a normal ster... | null | 27,452.116251 | sonnet-4_5-20251217-142420 | 0.0029 | 1,497 | 5,134 | 6,631 | 0.0241 | sonnet-4_5 | null | 1,443 | 812 | 2,255 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.267029 | completed | default | 41,031.359434 |
mtsamples_replicate | null | 72 | The patient will undergo a completion TURBT on 03/20/08 with bilateral retrograde pyelograms at the time of surgery. Preoperative workup and laboratory as well as paper work were performed in clinic today with Dr. Y. The patient will be scheduled for anesthesia preop. The patient will have urine culture redrawn from hi... | null | 36,165.932894 | sonnet-4_5-20251217-142420 | 0.0029 | 1,694 | 6,167 | 7,861 | 0.0289 | sonnet-4_5 | null | 1,662 | 1,337 | 2,999 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.065327 | completed | default | 49,401.936054 |
mtsamples_replicate | null | 73 | The patient to have CBC, chem-6, PT, PTT, EKG, and chest x-ray beforehand. | null | 27,857.923985 | sonnet-4_5-20251217-142420 | 0.0026 | 1,645 | 3,683 | 5,328 | 0.0198 | sonnet-4_5 | null | 1,234 | 430 | 1,664 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.077963 | completed | default | 42,184.158802 |
mtsamples_replicate | null | 74 | We will have the patient follow up with Dr. X in his office in 2 days for reevaluation. The patient was given a prescription for Levaquin and Phenergan tablets to take home with him tonight. The patient was encouraged to drink extra water. The patient was given discharge instructions on hematuria and asked to return to... | null | 29,984.351158 | sonnet-4_5-20251217-142420 | 0.0034 | 1,751 | 6,995 | 8,746 | 0.0257 | sonnet-4_5 | null | 1,290 | 2,115 | 3,405 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.061512 | completed | default | 47,559.256315 |
mtsamples_replicate | null | 75 | 1. The patient is tentatively scheduled for a cervical epidural steroid injection on March 14, 2005.2. We will begin a weaning schedule for the patient's Avinza by decreasing in 60 mg intervals. The patient will have a target of 120 mg p.o. b.i.d., and then be reassessed. This is expected to occur after her cervical ep... | null | 25,282.899618 | sonnet-4_5-20251217-142420 | 0.0025 | 1,610 | 4,067 | 5,677 | 0.0185 | sonnet-4_5 | null | 1,092 | 695 | 1,787 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.093937 | completed | default | 43,911.23867 |
mtsamples_replicate | null | 76 | Likely recurrent low-grade tumor, possibly evolved to a higher grade, given the MRI and SPECT findings. Dr. X's note suggests discussing the situation in the tumor board on Wednesday. He is stable enough. The pause in his care would not jeopardize his current status. It would be helpful to get old films and pathology f... | null | 22,604.097605 | sonnet-4_5-20251217-142420 | 0.0026 | 1,509 | 3,927 | 5,436 | 0.0163 | sonnet-4_5 | null | 945 | 714 | 1,659 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.064611 | completed | default | 37,488.334417 |
mtsamples_replicate | null | 77 | Left breast excisional biopsy with preoperative guidewire localization and intraoperative specimen radiography. This will be performed on an outpatient basis. | null | 33,371.573448 | sonnet-4_5-20251217-142420 | 0.0027 | 1,100 | 6,060 | 7,160 | 0.0276 | sonnet-4_5 | null | 1,538 | 1,521 | 3,059 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.086784 | completed | default | 43,051.40233 |
mtsamples_replicate | null | 78 | Stage IIA right breast cancer. Overall she is doing well. Her CBC and CMP were acceptable. I am going to see her again in November. | null | 27,470.299244 | sonnet-4_5-20251217-142420 | 0.0027 | 1,626 | 4,698 | 6,324 | 0.0203 | sonnet-4_5 | null | 1,145 | 1,053 | 2,198 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.095129 | completed | default | 42,983.507872 |
mtsamples_replicate | null | 79 | This is a very pleasant 59-year-old female with metastatic breast cancer. She is enrolled in clinical trial C40502. She has completed nine cycles of chemotherapy with Ixempra plus Avastin. First we thought she might suffered a perforated septum which would bring up concerns with the Avastin. There have been isolated ca... | null | 20,482.537985 | sonnet-4_5-20251217-142420 | 0.0025 | 1,529 | 4,120 | 5,649 | 0.0162 | sonnet-4_5 | null | 909 | 862 | 1,771 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.103712 | completed | default | 32,769.221067 |
mtsamples_replicate | null | 80 | A hypertrophic scar was found and removed. The cicatrix was removed in its entirety and once opening the wound, the area of tissue where the palpable mass was, was excised as well and sent to the lab. | null | 24,443.979979 | sonnet-4_5-20251217-142420 | 0.0024 | 1,451 | 3,799 | 5,250 | 0.0166 | sonnet-4_5 | null | 966 | 711 | 1,677 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.118732 | completed | default | 38,940.366745 |
mtsamples_replicate | null | 81 | The patient is definitely interested in undergoing TRAM flap reconstruction. At the moment, we are planning to do it as an immediate reconstruction at the time of the mastectomy. For this reason, I have made arrangements to do initial vascular delay procedure within the next couple of days. We may cancel this if the ch... | null | 42,963.022947 | sonnet-4_5-20251217-142420 | 0.0031 | 2,068 | 5,926 | 7,994 | 0.0317 | sonnet-4_5 | null | 1,942 | 868 | 2,810 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.058889 | completed | default | 65,667.999506 |
mtsamples_replicate | null | 82 | Craniocaudal and mediolateral oblique projections of bilateral breasts were obtained on mm/dd/yy. An additional lateromedial projection of the right breast was obtained. The breasts demonstrate heterogeneously-dense fibroglandular tissue. Within the upper outer aspect of the left breast, there is evidence of a circumsc... | null | 30,001.11866 | sonnet-4_5-20251217-142420 | 0.0031 | 1,491 | 5,696 | 7,187 | 0.0227 | sonnet-4_5 | null | 1,250 | 1,304 | 2,554 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.252247 | completed | default | 41,008.232832 |
mtsamples_replicate | null | 83 | 1. Normal true vocal cords.2. Subglottic stenosis down to 5 mm with mature cicatrix.3. Tracheal granulation tissue growing through the stents at the midway point of the stents. | null | 23,561.165333 | sonnet-4_5-20251217-142420 | 0.0024 | 1,268 | 3,700 | 4,968 | 0.0176 | sonnet-4_5 | null | 1,057 | 571 | 1,628 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.132322 | completed | default | 34,598.217249 |
mtsamples_replicate | null | 84 | Abundant amount of clear thick secretions throughout the main airways.INDICATIONS: The patient is a 43-year-old gentleman who has been in the ICU for several days following resection of small bowel for sequelae of SMV occlusion. This morning, the patient developed worsening hypoxia with abundant sputum production requi... | null | 29,475.366831 | sonnet-4_5-20251217-142420 | 0.0026 | 1,291 | 4,792 | 6,083 | 0.0218 | sonnet-4_5 | null | 1,334 | 601 | 1,935 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.119448 | completed | default | 43,838.760376 |
mtsamples_replicate | null | 85 | Left buttock abscess, status post incision and drainage. I do not believe surgical intervention is warranted. I have recommended some local wound care. Please see orders for details. | null | 23,860.403776 | sonnet-4_5-20251217-142420 | 0.0023 | 1,464 | 3,556 | 5,020 | 0.0167 | sonnet-4_5 | null | 1,015 | 491 | 1,506 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.087738 | completed | default | 38,637.682199 |
mtsamples_replicate | null | 86 | 1. Treat the C. diff aggressively especially given CT appearance and her continued leukocytosis and because of the Levaquin, which could have added additional antibiotic pressure, so I will restart the IV Flagyl.2. Continue p.o. vancomycin. Add Florastor to help replenish the gut flora. | null | 26,569.867611 | sonnet-4_5-20251217-142420 | 0.0034 | 2,351 | 4,559 | 6,910 | 0.02 | sonnet-4_5 | null | 1,145 | 931 | 2,076 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.339746 | completed | default | 47,791.944504 |
mtsamples_replicate | null | 87 | The LAD was 2-mm vessel and good, mammary was good, and obtuse marginal was 2-mm vessel and good, and the main was good. | null | 30,309.982538 | sonnet-4_5-20251217-142420 | 0.0026 | 1,160 | 5,290 | 6,450 | 0.0246 | sonnet-4_5 | null | 1,391 | 1,261 | 2,652 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.107765 | completed | default | 42,643.274784 |
mtsamples_replicate | null | 88 | 1. I will have PT and OT evaluate the patient and give recommendation to safety and appliance use at home i.e. walker. Myself and one of her daughter's spoke today about the fact that she generally lives independently at the Brooke and she may need assisted living along with physical therapy and oxygen for a period of ... | null | 30,288.179159 | sonnet-4_5-20251217-142420 | 0.0032 | 2,054 | 5,087 | 7,141 | 0.023 | sonnet-4_5 | null | 1,345 | 936 | 2,281 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.056028 | completed | default | 47,880.809546 |
mtsamples_replicate | null | 89 | Prednisone 20 mg 3 times a day for 2 days, 2 times a day for 5 days and then one daily, Keflex 500 mg 3 times a day and to resume his other preadmission medication, can be given a pneumococcal vaccination before discharge. To follow up with me in the office in 4-5 days. | null | 23,871.990919 | sonnet-4_5-20251217-142420 | 0.0027 | 1,753 | 3,728 | 5,481 | 0.0179 | sonnet-4_5 | null | 1,092 | 520 | 1,612 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.056744 | completed | default | 41,235.75902 |
mtsamples_replicate | null | 90 | The lung bases are clear. | null | 148,541.284561 | sonnet-4_5-20251217-142420 | 0.0025 | 1,453 | 3,894 | 5,347 | 0.0198 | sonnet-4_5 | null | 1,194 | 627 | 1,821 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.170946 | completed | default | 158,389.276028 |
mtsamples_replicate | null | 91 | CT scan of the abdomen and pelvis was performed without and with intravenous contrast. Total of 100 mL of Isovue was administered intravenously. Oral contrast was also administered.The lung bases are clear. The liver is enlarged and decreased in attenuation. There are no focal liver masses. | null | 23,557.560682 | sonnet-4_5-20251217-142420 | 0.0022 | 1,142 | 3,566 | 4,708 | 0.018 | sonnet-4_5 | null | 1,111 | 459 | 1,570 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.064611 | completed | default | 33,380.66721 |
mtsamples_replicate | null | 92 | Limited views of the lung bases demonstrate linear density most likely representing dependent atelectasis. There is a 1.6 cm nodular density at the left posterior sulcus.Noncontrast technique limits evaluation of the solid abdominal organs. Cardiomegaly and atherosclerotic calcifications are seen.Hepatomegaly is observ... | null | 24,437.949657 | sonnet-4_5-20251217-142420 | 0.0028 | 1,637 | 4,390 | 6,027 | 0.0187 | sonnet-4_5 | null | 1,078 | 843 | 1,921 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.294685 | completed | default | 40,254.173517 |
mtsamples_replicate | null | 93 | There is no intrarenal stone bilaterally. However, there is very mild left renal pelvis and proximal ureteral dilatation with a small amount of left perinephric stranding asymmetric to the right. The right renal pelvis is not dilated. There is no stone along the course of the ureter. I cannot exclude the possibility of... | null | 22,917.933464 | sonnet-4_5-20251217-142420 | 0.0025 | 1,378 | 4,017 | 5,395 | 0.0186 | sonnet-4_5 | null | 1,122 | 589 | 1,711 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.079632 | completed | default | 35,838.289976 |
mtsamples_replicate | null | 94 | Please note evaluation of the abdominal organs is secondary to the lack of intravenous contrast material.Gallstones are seen within the gallbladder lumen. No abnormal pericholecystic fluid is seen.The liver is normal in size and attenuation. | null | 22,917.88578 | sonnet-4_5-20251217-142420 | 0.0026 | 1,531 | 3,685 | 5,216 | 0.0182 | sonnet-4_5 | null | 1,085 | 627 | 1,712 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.265121 | completed | default | 37,252.874136 |
mtsamples_replicate | null | 95 | The liver is normal in size and attenuation.The gallbladder is normal. | null | 26,309.478998 | sonnet-4_5-20251217-142420 | 0.0025 | 1,296 | 4,084 | 5,380 | 0.0213 | sonnet-4_5 | null | 1,290 | 635 | 1,925 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.196218 | completed | default | 38,933.888197 |
mtsamples_replicate | null | 96 | There is no evidence of any acute pulmonary arterial embolism.The main pulmonary artery is enlarged showing a diameter of 4.7 cm. | null | 25,016.113281 | sonnet-4_5-20251217-142420 | 0.0027 | 1,802 | 3,802 | 5,604 | 0.0192 | sonnet-4_5 | null | 1,164 | 582 | 1,746 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.169039 | completed | default | 39,857.633114 |
mtsamples_replicate | null | 97 | There is no evidence for pulmonary arterial embolism.The lungs are clear of any abnormal airspace consolidation, pleural effusion, or pneumothorax. No abnormal mediastinal or hilar lymphadenopathy is seen. | null | 18,321.646929 | sonnet-4_5-20251217-142420 | 0.0025 | 1,956 | 3,067 | 5,023 | 0.0148 | sonnet-4_5 | null | 914 | 358 | 1,272 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.109434 | completed | default | 36,881.190062 |
mtsamples_replicate | null | 98 | CT examination of the cervical spine was performed without contrast. Coronal and sagittal reformats were obtained for better anatomical localization. Cervical vertebral body height, alignment and interspacing are maintained. There is no evidence of fractures or destructive osseous lesions. There are no significant dege... | null | 20,492.618561 | sonnet-4_5-20251217-142420 | 0.0019 | 1,207 | 2,853 | 4,060 | 0.0126 | sonnet-4_5 | null | 789 | 247 | 1,036 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.11158 | completed | default | 32,437.087536 |
mtsamples_replicate | null | 99 | The cervical spine demonstrates normal alignment and mineralization with no evidence of fracture, dislocation, or spondylolisthesis. The vertebral body heights and disc spaces are maintained. The central canal is patent. The pedicles and posterior elements are intact. The paravertebral soft tissues are within normal li... | null | 13,053.201199 | sonnet-4_5-20251217-142420 | 0.0018 | 1,181 | 2,411 | 3,592 | 0.0085 | sonnet-4_5 | null | 518 | 238 | 756 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.087738 | completed | default | 22,802.287817 |
mtsamples_replicate | null | 100 | This study demonstrates a small region of coalescent infiltrates/consolidation in the anterior right upper lobe. There are linear fibrotic or atelectatic changes associated with this. Recommend followup to ensure resolution. There is left apical scarring. There is no pleural effusion or pneumothorax. There is lingular ... | null | 16,098.80209 | sonnet-4_5-20251217-142420 | 0.0022 | 1,535 | 3,034 | 4,569 | 0.0118 | sonnet-4_5 | null | 712 | 381 | 1,093 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.121593 | completed | default | 27,305.361509 |
mtsamples_replicate | null | 101 | There is a large 3 x 4 cm lymph node seen in the right supraclavicular region. There is a large right paratracheal lymph node best appreciated on image #16 which measures 3 x 2 cm. A subcarinal lymph node is enlarged also. It measures 6 x 2 cm. Multiple pulmonary nodules are seen along the posterior border of the visce... | null | 26,332.061291 | sonnet-4_5-20251217-142420 | 0.0027 | 1,659 | 4,265 | 5,924 | 0.0197 | sonnet-4_5 | null | 1,206 | 546 | 1,752 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.169039 | completed | default | 49,745.264053 |
mtsamples_replicate | null | 102 | The heart size is normal and there is no pericardial effusion. The aorta and great vessels are normal in caliber. The central pulmonary arteries are patent with no evidence of embolus. There is no significant mediastinal, hilar, or axillary lymphadenopathy. The trachea and mainstem bronchi are patent. The esophagus is ... | null | 11,020.113468 | sonnet-4_5-20251217-142420 | 0.0016 | 973 | 2,427 | 3,400 | 0.0073 | sonnet-4_5 | null | 425 | 302 | 727 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.120163 | completed | default | 19,235.803843 |
mtsamples_replicate | null | 103 | There is no evidence of an acute intracranial hemorrhage or infarction. There is no midline shift, intracranial mass, or mass effect. There is no extra-axial fluid collection or hydrocephalus. Visualized portions of the paranasal sinuses and mastoid air cells appear clear aside from mild right frontal sinus mucosal thi... | null | 19,725.968599 | sonnet-4_5-20251217-142420 | 0.0018 | 1,125 | 2,934 | 4,059 | 0.0135 | sonnet-4_5 | null | 844 | 265 | 1,109 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.055075 | completed | default | 29,350.133657 |
mtsamples_replicate | null | 104 | There is an approximately 5-mm shift of the midline towards the right side. Significant low attenuation is seen throughout the white matter of the right frontal, parietal, and temporal lobes. There is loss of the cortical sulci on the right side. These findings are compatible with edema. Within the right parietal lobe,... | null | 22,428.297043 | sonnet-4_5-20251217-142420 | 0.0027 | 1,620 | 3,405 | 5,025 | 0.0152 | sonnet-4_5 | null | 930 | 419 | 1,349 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.048161 | completed | default | 33,690.92226 |
mtsamples_replicate | null | 105 | There are no abnormal extraaxial fluid collections. There is no midline shift or mass effect. Ventricular system demonstrates no dilatation. There is no evidence of acute intracranial hemorrhage. The calvarium is intact. There is a laceration in the left parietal region of the scalp without underlying calvarial fractur... | null | 22,239.89296 | sonnet-4_5-20251217-142420 | 0.0021 | 1,212 | 3,136 | 4,348 | 0.0146 | sonnet-4_5 | null | 913 | 286 | 1,199 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.30899 | completed | default | 32,122.324705 |
mtsamples_replicate | null | 106 | There is no acute intracranial hemorrhage, mass effect, midline shift, or extra-axial fluid collection. The ventricles and cortical sulci are normal in shape and configuration. The gray/white matter junctions are well preserved. There is no calvarial fracture. The visualized paranasal sinuses and mastoid air cells are ... | null | 22,486.744881 | sonnet-4_5-20251217-142420 | 0.0024 | 1,380 | 3,575 | 4,955 | 0.0168 | sonnet-4_5 | null | 1,017 | 506 | 1,523 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.060081 | completed | default | 32,741.948128 |
mtsamples_replicate | null | 107 | There is no acute intracranial hemorrhage, mass effect, midline shift, or extra-axial fluid collection. The ventricles and cortical sulci are normal in shape and configuration. The gray/white matter junctions are well preserved. No calvarial fracture is seen. | null | 20,145.762444 | sonnet-4_5-20251217-142420 | 0.002 | 1,193 | 3,413 | 4,606 | 0.0141 | sonnet-4_5 | null | 829 | 565 | 1,394 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.254869 | completed | default | 30,924.897671 |
mtsamples_replicate | null | 108 | There is mild generalized atrophy. Scattered patchy foci of decreased attenuation are seen within the sub cortical and periventricular white matter compatible with chronic small vessel ischemic changes. The brain parenchyma is otherwise normal in attenuation with no evidence of mass, hemorrhage, midline shift, hydrocep... | null | 13,485.172987 | sonnet-4_5-20251217-142420 | 0.002 | 1,176 | 2,472 | 3,648 | 0.0087 | sonnet-4_5 | null | 530 | 243 | 773 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.145674 | completed | default | 22,406.18515 |
mtsamples_replicate | null | 109 | There is no intrarenal stone or obstruction bilaterally. There is no hydronephrosis, ureteral dilatation. There are calcifications about the pelvis including one in the left upper pelvis, but these are stable from the prior study and there is no upstream ureteral dilatation, the findings therefore are favored to repres... | null | 14,571.825027 | sonnet-4_5-20251217-142420 | 0.0018 | 1,116 | 2,926 | 4,042 | 0.0108 | sonnet-4_5 | null | 630 | 466 | 1,096 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.054598 | completed | default | 26,976.213694 |
mtsamples_replicate | null | 110 | High resolution computerized tomography was performed from T12-L1 to the S1 level with reformatted images in the sagittal and coronal planes and 3D reconstructions performed. COMPARISON: Previous MRI examination 10/13/2004.There is minimal curvature of the lumbar spine convex to the left.T12-L1, L1-2, L2-3: There is no... | null | 27,411.789179 | sonnet-4_5-20251217-142420 | 0.0025 | 1,433 | 4,523 | 5,956 | 0.0198 | sonnet-4_5 | null | 1,148 | 853 | 2,001 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.188112 | completed | default | 39,414.452314 |
mtsamples_replicate | null | 111 | Axial scans were performed from L1 to S2 and reformatted images were obtained in the sagittal and coronal planes.Preliminary scout film demonstrates anterior end plate spondylosis at T11-12 and T12-L1.L1-2: There is normal disc height, anterior end plate spondylosis, very minimal vacuum change with no posterior annular... | null | 23,526.638031 | sonnet-4_5-20251217-142420 | 0.0025 | 1,267 | 4,767 | 6,034 | 0.0197 | sonnet-4_5 | null | 1,118 | 989 | 2,107 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.071526 | completed | default | 35,816.76507 |
mtsamples_replicate | null | 112 | CT examination of the maxillofacial bones was performed without contrast. Coronal reconstructions were obtained for better anatomical localization.There is normal appearance to the orbital rims. The ethmoid, sphenoid, and frontal sinuses are clear. There is polypoid mucosal thickening involving the floor of the maxilla... | null | 18,299.208879 | sonnet-4_5-20251217-142420 | 0.002 | 1,124 | 3,267 | 4,391 | 0.0131 | sonnet-4_5 | null | 798 | 392 | 1,190 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.057936 | completed | default | 28,103.40929 |
mtsamples_replicate | null | 113 | There is a lobulated mass lesion of the epiglottis measuring approximately 22 x 16 x 30 mm (mediolateral x AP x craniocaudal) in size. There is slightly greater involvement on the right side however there is bilateral involvement of the aryepiglottic folds. There is marked enlargement of the bilateral aryepiglottic fol... | null | 27,816.708565 | sonnet-4_5-20251217-142420 | 0.0028 | 1,377 | 4,912 | 6,289 | 0.0211 | sonnet-4_5 | null | 1,218 | 932 | 2,150 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.110388 | completed | default | 40,366.187334 |
mtsamples_replicate | null | 114 | Scans through the base of the brain are unremarkable. The oropharynx and nasopharynx are within normal limits. The airway is patent. The epiglottis and epiglottic folds are normal. The thyroid, submandibular, and parotid glands enhance homogenously. The vascular and osseous structures in the neck are intact. There is n... | null | 15,095.97683 | sonnet-4_5-20251217-142420 | 0.0015 | 854 | 2,453 | 3,307 | 0.0083 | sonnet-4_5 | null | 500 | 265 | 765 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.128746 | completed | default | 21,032.244205 |
mtsamples_replicate | null | 115 | Correlation is made with a prior examination dated 01/20/09.Again identified are small intrarenal stones bilaterally. These are unchanged. There is no hydronephrosis or significant ureteral dilatation. There is no stone along the expected course of the ureters or within the bladder. There is a calcification in the low ... | null | 18,594.58971 | sonnet-4_5-20251217-142420 | 0.0018 | 1,097 | 3,204 | 4,301 | 0.0132 | sonnet-4_5 | null | 794 | 429 | 1,223 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.247002 | completed | default | 28,324.878216 |
mtsamples_replicate | null | 116 | There is no evidence for acute fracture or subluxation. There is no spondylolysis or spondylolisthesis. The central canal and neuroforamen are grossly patent at all levels. There are no abnormal paraspinal masses. There is no wedge/compression deformity. There is intervertebral disk space narrowing to a mild degree at ... | null | 16,643.549681 | sonnet-4_5-20251217-142420 | 0.0019 | 1,107 | 3,007 | 4,114 | 0.0115 | sonnet-4_5 | null | 684 | 417 | 1,101 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.082254 | completed | default | 25,453.181982 |
mtsamples_replicate | null | 117 | Initial noncontrasted CT localization images reveals the presence of an approximately 2.1 cm cortical mass involving the posterior aspect of the inferior pole of the right kidney. Images obtained during the biopsy reveals the cutting portion of the biopsy needle to extend through the mass. Images obtained following the... | null | 25,450.042725 | sonnet-4_5-20251217-142420 | 0.0025 | 1,364 | 4,379 | 5,743 | 0.0198 | sonnet-4_5 | null | 1,156 | 806 | 1,962 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.173092 | completed | default | 37,638.632298 |
mtsamples_replicate | null | 118 | Comparison made to the prior MRI. There is re-demonstration of multiple bilateral cystic renal lesions. Several of these demonstrate high attenuation in the precontrast phase of the exam suggesting that they are hemorrhagic cysts. There was however one cyst seen in the lower pole of the left kidney, which demonstrated ... | null | 21,036.396742 | sonnet-4_5-20251217-142420 | 0.0023 | 1,244 | 3,855 | 5,099 | 0.015 | sonnet-4_5 | null | 859 | 713 | 1,572 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.058889 | completed | default | 32,505.315304 |
mtsamples_replicate | null | 119 | 1. Cerebrovascular accident, in progress. Admitted for IV heparinization.2. MRI of his brain tomorrow. PT, OT, and speech therapy evaluation as needed.3. We will check his cholesterol panel in the morning. | null | 33,961.053848 | sonnet-4_5-20251217-142420 | 0.0034 | 1,719 | 5,735 | 7,454 | 0.026 | sonnet-4_5 | null | 1,479 | 1,261 | 2,740 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.114441 | completed | default | 46,374.470472 |
mtsamples_replicate | null | 120 | The patient will be hospitalized overnight for elevation, ice packs, neurovascular checks, and pain control. The patient to be strict nonweightbearing. We will arrange for her to get a wheelchair. The patient will then follow up in about 10 to 14 days for a cast check, as well as pain control. The patient will need an ... | null | 27,270.098686 | sonnet-4_5-20251217-142420 | 0.0031 | 2,199 | 5,055 | 7,254 | 0.0204 | sonnet-4_5 | null | 1,121 | 1,191 | 2,312 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.207663 | completed | default | 53,474.332333 |
mtsamples_replicate | null | 121 | Recommend the patient use 1 unit of insulin for every 10-g carbohydrate load consumed. Recommend the patient either use this as a carbohydrate counting tool or work harder at keeping carbohydrate content consistent at meals from day to day. This was a one-hour consultation. Provided my name and number should additional... | null | 28,696.536303 | sonnet-4_5-20251217-142420 | 0.0025 | 1,305 | 4,248 | 5,553 | 0.0209 | sonnet-4_5 | null | 1,255 | 679 | 1,934 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.182152 | completed | default | 39,952.15106 |
mtsamples_replicate | null | 122 | 1. Native coronary arteries. The left main is patent. The left anterior descending artery is not clearly visualized. The circumflex artery appears to be patent. The proximal segment gives rise to small caliber obtuse marginal vessel.2. Right coronary artery is patent with mild distal and mid segment. No evidence of foc... | null | 26,299.824953 | sonnet-4_5-20251217-142420 | 0.0025 | 1,336 | 4,490 | 5,826 | 0.0207 | sonnet-4_5 | null | 1,229 | 744 | 1,973 | 0.791667 | 0 | sonnet-4_5-mtsamples_replicate | 0.060081 | completed | default | 38,598.091841 |
mtsamples_replicate | null | 123 | Medical treatment, including Plavix and nitrates, in addition to beta blocker, aspirin, and aggressive lipid reduction. | null | 25,951.825857 | sonnet-4_5-20251217-142420 | 0.0028 | 1,634 | 4,431 | 6,065 | 0.0206 | sonnet-4_5 | null | 1,199 | 870 | 2,069 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.115395 | completed | default | 41,527.66633 |
mtsamples_replicate | null | 124 | 1. The left main coronary artery is a very short vessel and immediately bifurcates into the left anterior descending artery and the left circumflex coronary artery.2. The left main coronary artery is free of any disease.3. The left circumflex coronary artery which is a nondominant vessel gives off 2 marginal branches. ... | null | 25,439.476967 | sonnet-4_5-20251217-142420 | 0.0026 | 1,310 | 5,024 | 6,334 | 0.0211 | sonnet-4_5 | null | 1,215 | 949 | 2,164 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.14472 | completed | default | 34,657.378674 |
mtsamples_replicate | null | 125 | Overnight observation in ICU. Start aspirin, Plavix, beta-blocker and ACE inhibitor. Check serial cardiac enzymes. Further recommendations to follow. Check fasting lipid panel, in addition add a statin. Further recommendations to follow. | null | 33,647.90678 | sonnet-4_5-20251217-142420 | 0.0028 | 1,439 | 5,281 | 6,720 | 0.027 | sonnet-4_5 | null | 1,595 | 1,010 | 2,605 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.058651 | completed | default | 46,171.086073 |
mtsamples_replicate | null | 126 | 1. Stress Myoview SPECT, echocardiogram.2. Sleep apnea study.3. Routine blood tests.4. Patient will be seen again in my office in two weeks. | null | 26,262.777805 | sonnet-4_5-20251217-142420 | 0.0025 | 1,274 | 4,500 | 5,774 | 0.0211 | sonnet-4_5 | null | 1,238 | 831 | 2,069 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.103474 | completed | default | 38,260.12969 |
mtsamples_replicate | null | 127 | 1. Adenosine Myoview SPECT, 24-hour Holter monitor, echocardiogram.2. Carotid ultrasound.3. Micro-T wave alternans test.4. Diovan 80 mg has been given to the patient from our sample closet for the control of hypertension.5. Patient will be seen again in my office in two weeks. | null | 21,648.645163 | sonnet-4_5-20251217-142420 | 0.0026 | 1,817 | 4,149 | 5,966 | 0.0165 | sonnet-4_5 | null | 915 | 925 | 1,840 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.136614 | completed | default | 37,011.878252 |
mtsamples_replicate | null | 128 | The patient is a very pleasant elderly gentleman with intractable/inoperable malignancy. His cardiac issues are chronic and most likely secondary to long term hypertension and diabetes. He has chronic atrial fibrillation. I do not envision a scenario whereby he will become a candidate for management of this arrhythmia ... | null | 38,391.462803 | sonnet-4_5-20251217-142420 | 0.0031 | 1,537 | 6,416 | 7,953 | 0.0302 | sonnet-4_5 | null | 1,751 | 1,302 | 3,053 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.060797 | completed | default | 54,863.447189 |
mtsamples_replicate | null | 129 | Will schedule patient for heart catheterization. Will see him after the above is completed. | null | 27,595.081806 | sonnet-4_5-20251217-142420 | 0.0026 | 1,376 | 4,434 | 5,810 | 0.0222 | sonnet-4_5 | null | 1,330 | 741 | 2,071 | 0.833333 | 0 | sonnet-4_5-mtsamples_replicate | 0.180006 | completed | default | 38,753.852367 |
mtsamples_replicate | null | 130 | 1. The overall quality of the study is fair.2. The left ventricular cavity appears to be normal on the rest and stress studies.3. SPECT images demonstrate fairly homogeneous tracer distribution throughout the myocardium with no overt evidences of fixed and/or reperfusion defect.4. The left ventricular ejection fraction... | null | 24,561.727762 | sonnet-4_5-20251217-142420 | 0.0022 | 1,262 | 3,809 | 5,071 | 0.0184 | sonnet-4_5 | null | 1,126 | 487 | 1,613 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.131845 | completed | default | 34,595.915556 |
mtsamples_replicate | null | 131 | 1. Continue present therapy.2. Patient will be seen again in my office in four weeks. | null | 23,418.418169 | sonnet-4_5-20251217-142420 | 0.0027 | 1,623 | 3,795 | 5,418 | 0.0178 | sonnet-4_5 | null | 1,057 | 652 | 1,709 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.061989 | completed | default | 38,366.058588 |
mtsamples_replicate | null | 132 | 1. Echocardiogram, stress test.2 Routine blood tests. | null | 24,269.727707 | sonnet-4_5-20251217-142420 | 0.0025 | 1,602 | 3,682 | 5,284 | 0.0185 | sonnet-4_5 | null | 1,132 | 505 | 1,637 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.17643 | completed | default | 41,176.182985 |
mtsamples_replicate | null | 133 | The patient reports that she had an echocardiogram done in the office of Dr. Sample Doctor4 and was told that she had a massive heart attack in the past. I have not had the opportunity to review any investigative data like chest x-ray, echocardiogram, EKG, etc. So, I advised her to have a chest x-ray and an EKG done be... | null | 16,284.948826 | sonnet-4_5-20251217-142420 | 0.0024 | 1,943 | 2,818 | 4,761 | 0.012 | sonnet-4_5 | null | 754 | 233 | 987 | 0.875 | 0 | sonnet-4_5-mtsamples_replicate | 0.130892 | completed | default | 32,308.412552 |
mtsamples_replicate | null | 134 | 1. Elderly with rhabdomyolysis, acute renal insufficiency, secondary to diarrhea. Evaluate for C diff.2. Hydration. Increase fluids to about 200 an hour. Consult with Nephrology.3. Hold off beta-blockers at this time until blood pressure is more stable. May restart metoprolol 25 mg b.i.d.4. No need for EF. Assessment p... | null | 36,116.728067 | sonnet-4_5-20251217-142420 | 0.003 | 1,632 | 5,564 | 7,196 | 0.0275 | sonnet-4_5 | null | 1,613 | 1,090 | 2,703 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.162125 | completed | default | 46,931.758642 |
mtsamples_replicate | null | 135 | On the grayscale images, the right common carotid artery demonstrates patency with mild intimal thickening only. At the level of the carotid bifurcation, there is heterogeneous hard plaque present, but without grayscale evidence of greater than 50% stenosis. Right common carotid waveform is normal with a peak systolic ... | null | 22,626.36137 | sonnet-4_5-20251217-142420 | 0.0026 | 1,334 | 4,742 | 6,076 | 0.0209 | sonnet-4_5 | null | 1,225 | 845 | 2,070 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.15974 | completed | default | 34,955.391407 |
mtsamples_replicate | null | 136 | We did find a compressed right median nerve upon entering the carpal tunnel, otherwise, the structures of the carpal canal are otherwise unremarkable. No evidence of tumor was found.BRIEF HISTORY OF PRESENT ILLNESS: This is a 54-year-old female who was complaining of right hand numbness and tingling of the median distr... | null | 27,132.801533 | sonnet-4_5-20251217-142420 | 0.0022 | 1,165 | 4,420 | 5,585 | 0.0209 | sonnet-4_5 | null | 1,264 | 645 | 1,909 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.152111 | completed | default | 36,995.730162 |
mtsamples_replicate | null | 137 | The loose cartilage fragment was given to the family. The intraoperative findings were relayed with intraoperative photos. There was a large deficit in the weightbearing portion of medial femoral condyle. His prognosis is guarded given the fact of the fragile lesion and location, but in advantages of his age and his re... | null | 29,046.629429 | sonnet-4_5-20251217-142420 | 0.0027 | 1,456 | 4,974 | 6,430 | 0.022 | sonnet-4_5 | null | 1,279 | 948 | 2,227 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.084877 | completed | default | 40,379.241228 |
mtsamples_replicate | null | 138 | Advanced neurovascular age-related macular degeneration OU, this is ultimately visually limiting. Cataracts are present in both eyes. I doubt cataract removal will help increase visual acuity; however, I did discuss with the patient, especially in the left, cataract surgery will help Dr. X better visualize the macula f... | null | 24,051.971436 | sonnet-4_5-20251217-142420 | 0.0021 | 1,327 | 3,281 | 4,608 | 0.0155 | sonnet-4_5 | null | 972 | 305 | 1,277 | 1 | 0 | sonnet-4_5-mtsamples_replicate | 0.174761 | completed | default | 35,795.733452 |
mtsamples_replicate | null | 139 | The patient would benefit from Ocean nasal spray as well as bacitracin ointment applied to the anterior naris. At this time, we were unable to discontinue the patient's inhaled steroids that she is using for her asthma. If this becomes possible in the future, this may provide her some relief of her chronic dysphonia. T... | null | 25,552.319527 | sonnet-4_5-20251217-142420 | 0.0025 | 1,285 | 4,246 | 5,531 | 0.0188 | sonnet-4_5 | null | 1,092 | 809 | 1,901 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.214815 | completed | default | 33,945.813417 |
mtsamples_replicate | null | 140 | On exposure, the fracture was noted to be basicervical pattern with no presence of calcar about the lesser trochanter. The lesser trochanter was intact. The fracture site was noted to show abnormal pathological tissue with grayish discoloration. The quality of the bone was also pathologically abnormal with soft trabecu... | null | 32,296.319246 | sonnet-4_5-20251217-142420 | 0.0032 | 1,381 | 7,196 | 8,577 | 0.0269 | sonnet-4_5 | null | 1,391 | 2,019 | 3,410 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.058651 | completed | default | 43,161.615372 |
mtsamples_replicate | null | 141 | Will check labs including sedimentation rate, MRI of the brain, chest x-ray. He will probably need a lumbar puncture. He also appears to have a mild peripheral neuropathy, which I suspect is an independent problem. We will request labs for this. | null | 36,262.937307 | sonnet-4_5-20251217-142420 | 0.0033 | 1,990 | 5,749 | 7,739 | 0.029 | sonnet-4_5 | null | 1,720 | 1,076 | 2,796 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.124454 | completed | default | 53,973.528385 |
mtsamples_replicate | null | 142 | Ms. ABC's history, physical examination, and radiographic findings are compatible with C4-5, C5-6 cervical spinal stenosis with associated right greater than left upper extremity radiculopathy including weakness.I spent a significant amount of time today with the patient discussing the diagnosis, prognosis, natural his... | null | 27,576.38979 | sonnet-4_5-20251217-142420 | 0.0026 | 1,508 | 4,747 | 6,255 | 0.0211 | sonnet-4_5 | null | 1,234 | 862 | 2,096 | 0.958333 | 0 | sonnet-4_5-mtsamples_replicate | 0.17333 | completed | default | 40,805.277586 |
mtsamples_replicate | null | 143 | The patient is a 45-year-old female with cervical spondylosis with a large C6-C7 herniated disc with mild cord compression and signal change at that level. She has a small disc at C3-C4 with less severe and only subtle cord compression. History and examination are consistent with signs of a myelopathy.Results were disc... | null | 26,894.133091 | sonnet-4_5-20251217-142420 | 0.0027 | 1,365 | 5,094 | 6,459 | 0.0208 | sonnet-4_5 | null | 1,178 | 1,031 | 2,209 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.069141 | completed | default | 38,268.993378 |
mtsamples_replicate | null | 144 | No evidence of intramediastinal purulence or hematoma. He tolerated the procedure well.DETAILS OF PROCEDURE: The patient was brought to the operating room and placed on the operating table in the supine position. Following general endotracheal anesthesia, the chest was prepped and draped in the usual sterile fashion. ... | null | 31,544.536352 | sonnet-4_5-20251217-142420 | 0.0028 | 1,390 | 5,065 | 6,455 | 0.025 | sonnet-4_5 | null | 1,540 | 644 | 2,184 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.077486 | completed | default | 43,046.830654 |
mtsamples_replicate | null | 145 | There are no filling defects in the main or main right or left pulmonary arteries. No central embolism. The proximal subsegmental pulmonary arteries are free of embolus, but the distal subsegmental and segmental arteries especially on the right are limited by extensive pulmonary parenchymal, findings would be discussed... | null | 27,973.923683 | sonnet-4_5-20251217-142420 | 0.003 | 1,615 | 4,988 | 6,603 | 0.0223 | sonnet-4_5 | null | 1,318 | 828 | 2,146 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.125408 | completed | default | 40,971.529722 |
mtsamples_replicate | null | 146 | The patient was reassured about the current condition and symptoms. The patient understood the explanations and is agreeable.FOLLOW UP / INSTRUCTIONS: Return to office in 8 weeks or sooner if there are any problems. | null | 23,948.675871 | sonnet-4_5-20251217-142420 | 0.0032 | 1,993 | 4,486 | 6,479 | 0.0199 | sonnet-4_5 | null | 1,120 | 1,025 | 2,145 | 0.833333 | 0 | sonnet-4_5-mtsamples_replicate | 0.071526 | completed | default | 38,012.059689 |
mtsamples_replicate | null | 147 | Discussion and recommendations in response to questions posed in your August 15, 2003 letter:1. What is your diagnosis of the worker's condition as a result of the injury? Please provide objective medical findings that support your diagnosis. Please indicate if the objective findings are reproducible, measurable, or ob... | null | 28,917.989969 | sonnet-4_5-20251217-142420 | 0.0041 | 1,083 | 12,528 | 13,611 | 0.0299 | sonnet-4_5 | null | 1,242 | 3,758 | 5,000 | 0.916667 | 0 | sonnet-4_5-mtsamples_replicate | 0.146151 | completed | default | 38,249.662876 |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.